Swallowed dentures: Two cases and a review
Conclusion Fixed dentures can be accidentally ingested as well as removable dentures. Denture loosening leads to accidental denture ingestion. Patients with denture loosening should be recommended to visit dentist as soon as possible. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 23, 2015 Category: Journals (General) Source Type: research

“Less is more”: NON operative management of Short Term superior mesenteric artery syndrome
Conclusion Non operative management with nutritional supplementation remains the first line of therapy. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 23, 2015 Category: Journals (General) Source Type: research

Laparoscopic Nissen Rossetti Fundoplication: Possibility towards day care anti-reflux surgeries
Discussion Surgical outcomes of procedure are unaffected and the main challenge faced remains pain relief and which can be effectively tackled by local blocks or plain NSAIDs. Results Laparoscopic Nissen Rossetti fundoplication is a safe procedure to be offered as day care anti-reflux surgery. We encourage more studies in this regards with appropriate blinding to enforce its possibility as day care surgery and help patients with early recovery and decreasing cost of surgeries. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 21, 2015 Category: Journals (General) Source Type: research

Cardiac complications after laparoscopic large hiatal hernia repair. Is it related with staple fixation of the mesh? -Report of three cases
Conclusion In the differential diagnosis of hemodynamic instability after laparoscopic hiatal hernia repair, cardiac tamponade and other cardiac complications should be considered. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 21, 2015 Category: Journals (General) Source Type: research

Unaware of a large leiomyoma: a case report with respect to unusual symptoms of large leiomyomas
Conclusion Patients might have no symptoms or might be unaware of the presence of a large uterine leiomyoma, as in our case; however, large leiomyomas have various unusual symptoms in addition to the common ones. These symptoms should not be disregarded or underestimated. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 21, 2015 Category: Journals (General) Source Type: research

A randomized controlled experimental study comparing Chitosan coated polypropylene mesh and Proceed™ mesh for abdominal wall defect closure
CONCLUSION Chitosan coated polypropylene mesh was found to have similar efficacy to Proceed™ mesh. Chitosan coated polypropylene mesh, can act as an anti adhesive barrier when used in the repair of incisional hernias and abdominal wall defects. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 10, 2015 Category: Journals (General) Source Type: research

Intramural Oesophageal Dissection as an Unusual Presentation of Chest Pain: A Case Report
Conclusion spontaneous IOD can occur in elderly patients who are anticoagulated. Fish oil has not been previously reported as having an association with IOD. This is the first known reported case of spontaneous IOD occurring in association with concurrent use of a bisphosphonate and fish oil. IOD is a rare disorder, and any anticoagulated patients presenting with severe chest pain may need careful investigation prior to definitive management. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 10, 2015 Category: Journals (General) Source Type: research

Rare benign mixed tumour of the upper lip: a case report
Conclusion CS should be included as a differential diagnosis of facial subcutaneous skin lesions in middle aged male patients. Careful evaluation, with a view of total excision and adequate surgical margin will enable diagnostic confirmation, whilst maintaining the aesthetic and functional unit. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 10, 2015 Category: Journals (General) Source Type: research

Large cell neuroendocrine - Adenocarcinona mixed tumour of colon: collision tumour with peculiar behaviour. What do we know about these tumours?
Conclusion We conclude that not all collision tumours follow the biclonal theory and more studies are needed to clarify the origin of these neoplasms, and consequently, to reach an adequate treatment. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 9, 2015 Category: Journals (General) Source Type: research

The Role of Non-Technical Skills in Surgery
Publication date: Available online 9 October 2015 Source:Annals of Medicine and Surgery Author(s): Riaz Agha, Alexander J. Fowler, Nick Sevdalis Non-technical skills are of increasing importance in surgery and surgical training. A traditional focus on technical skills acquisition and competence is no longer enough for the delivery of a modern, safe surgical practice. This review discusses the importance of non-technical skills and the values that underpin successful modern surgical practice. This narrative review used a number of sources including written and online, there was no specific search strategy of defined da...
Source: Annals of Medicine and Surgery - October 9, 2015 Category: Journals (General) Source Type: research

Clean intermittent self-catheterisation complications in patients with augmentation cystoplasty and artificial urinary sphincter for the treatment of neuropathic bladder dysfunction
Publication date: September 2015 Source:Annals of Medicine and Surgery, Volume 4, Issue 3 Author(s): Michael Fadel, Andrew Cole, Stacy Frost, Antony Mundy (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 4, 2015 Category: Journals (General) Source Type: research

In the blink of an eye: Value and novelty drive saccades
Publication date: September 2015 Source:Annals of Medicine and Surgery, Volume 4, Issue 3 Author(s): Sean Cavanagh, Nishantha Malalasekera, Steven Kennerley (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 4, 2015 Category: Journals (General) Source Type: research

Investigation of the truncated splice isoform of the neurotrophin scaffold protein Kidins220
Publication date: September 2015 Source:Annals of Medicine and Surgery, Volume 4, Issue 3 Author(s): Anissa McClelland, Giampietro Schiavo (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 4, 2015 Category: Journals (General) Source Type: research

Calling for change: Improving the call bell system for patient safety
Publication date: September 2015 Source:Annals of Medicine and Surgery, Volume 4, Issue 3 Author(s): Ishani Barai, Claire Brash, Martin Bamford (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 4, 2015 Category: Journals (General) Source Type: research

Surgery for posterior mediastinal dumbbell tumors: a case report
Conclusion The intrathoracic component of a posterior mediastinal dumbbell tumor can be resected by biportal thoracoscopy with the patient in a prone position, reducing the operative time. If the diagnosis of a dumbbell tumor is inconclusive, an endoscopic biopsy should be performed before removing the tumor. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 4, 2015 Category: Journals (General) Source Type: research

Mechanical small bowel obstruction following a blunt abdominal trauma: A case report
Conclusion High index of suspicion of intestinal obstruction is mandatory in trauma patients presenting with complaints of abdominal pain, vomiting, and constipation despite uneventful CT scan. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 27, 2015 Category: Journals (General) Source Type: research

Do elderly patients have the most to gain from laparoscopic surgery?
Publication date: Available online 21 September 2015 Source:Annals of Medicine and Surgery Author(s): Tyler Chesney, Sergio A. Acuna Populations are aging worldwide, people are living longer, and the surgical needs of elderly patients are rising. Laparoscopic techniques have become more common with improved training, surgeon skill and evidence of improved outcomes. Benefits of laparoscopy include decreased blood loss, postoperative pain, and hospital length of stay; improved mobilization, quicker return to normal activity; and fewer pulmonary, thrombotic, and abdominal wall complications. Indeed, for many common pathol...
Source: Annals of Medicine and Surgery - September 22, 2015 Category: Journals (General) Source Type: research

Mazabraud’s Syndrome: Report of its first incidence in the Middle East and a literature review
Conclusion Patients with such presentation need to be investigated thoroughly to rule out associated diseases and to evaluate the extent of such pathology. The improvement of radiological modalities can help in narrowing the differential diagnosis and following the patient to early detect the recurrence or any malignant transformation of the condition. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 22, 2015 Category: Journals (General) Source Type: research

Ankle arthroplasty in a patient with bleeding diathesis and the mid-term clinical outcome of the case
Conclusion As observed, the early and mid-term functional outcomes are promising for patients with bleeding diathesis who undergo ankle arthroplasty. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 15, 2015 Category: Journals (General) Source Type: research

Clinical Presentations And Outcomes Of Necrotizing Fasciitis In Males And Females Over A 13-Year Period
Conclusion Necrotizing fasciitis remains a life threatening entity. Although, NF is more common in males, Qatari females are more likely to develop NF than males. NF of abdominal wall and groin is significantly higher in females. Development of organ failure is more common in males with NF. NF remains a challenging clinical problem in Qatar with a mortality rate ranging from 25-27% for both genders. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 15, 2015 Category: Journals (General) Source Type: research

Non-Trauma surgical emergencies in adults: Spectrum, Challenges and outcome of care
Publication date: Available online 14 September 2015 Source:Annals of Medicine and Surgery Author(s): N.A. Ibrahim, M.A. Oludara, A. Ajani, I. Mustafa, R. Balogun, O. Idowu, R. Osuoji, F.O. Omodele, A.O.A. Aderounmu, B.A. Solagberu Introduction Significant deaths of between 21% and 38% occur from non-trauma surgical conditions in the accident and emergency room. Access to emergency surgical care is limited in many developing countries including Nigeria. We aimed to study the spectrum of non-trauma surgical emergencies, identify challenges in management and evaluate outcomes. Methods A one year prospective coho...
Source: Annals of Medicine and Surgery - September 15, 2015 Category: Journals (General) Source Type: research

Hybrid External Fixation via a Minimally Invasive Method for Tibial Pilon Fractures Technical Note
Conclusion Permanent hybrid external fixator applied using Schanz screws via a mini open technique is a fast, easily applied alternative with low morbidity and satisfying results. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 15, 2015 Category: Journals (General) Source Type: research

Clinical and radiological outcomes of conservative treatment after stable post-traumatic thoracolumbar fractures in elderly: Is it really best option for all elderly patients?
Conclusion Although there is wide acceptance of conservative treatment of post-traumatic stable thoracolumbar fracture with intact PCL according to the Thoracolumbar Injury Classification and Severity Score (TLICS), elderly female patients with a post-traumatic compression fracture in the junctional region are at great risk of conservative treatment failure. These patients should be well-informed about the possible complications and poor results of conservative treatment, and surgical treatment should be considered in selective cases with the informed consent of the patients. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 4, 2015 Category: Journals (General) Source Type: research

Anti-CD163-Dexamethasone Protects against Apoptosis after Ischemia/Reperfusion Injuries in the Rat Liver
Conclusions We show that pharmacological preconditioning with anti-CD163-dex and high dose dexamethasone reduces the number of apoptotic cells following ischemia/reperfusion injury. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 3, 2015 Category: Journals (General) Source Type: research

Quality of life after subtotal gastrectomy for gastric cancer: does restoration method matter? - A Retrospective Cohort Study
Conclusions The best QoL scores were obtained from the patients who underwent the Billroth I surgery. The Roux-en-Y method was better than the Balfour method 6-12 months after surgery. However, the Balfour method was better than the Roux-en-Y after one year. Further prospective randomized controlled trials are needed. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 3, 2015 Category: Journals (General) Source Type: research

Role of Intraoperative PTH monitoring and Surgical Approach in Primary Hyperparathyroidism
Conclusion IOPTH monitoring is most useful as an adjunct to preoperative imaging when imaging results are equivocal allowing for more focused/unilateral operations to be performed. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 28, 2015 Category: Journals (General) Source Type: research

Facial Artery Musculomucosal (FAMM) Flap for nasal lining in reconstruction of large full thickness lateral nasal defects
Publication date: Available online 25 August 2015 Source:Annals of Medicine and Surgery Author(s): Amin Rahpeyma, Saeedehkhajehahmadi Obviously, restoring the nasal lining is a great challenge in the reconstruction of nasal defects. Full thickness nasal defects usually require special flaps for reconstructing the nasal lining. Intranasal mucosal flaps, hinge over flaps, perinasal second flaps, folded or second forehead flaps and finally free flaps are examples that can be used for this purpose. Moreover, the case presented in this article expresses a new role for the superiorly based Facial Artery Musculomucosal (FAMM)...
Source: Annals of Medicine and Surgery - August 25, 2015 Category: Journals (General) Source Type: research

Total ‘rib’-preservation technique of internal mammary vessel exposure for free flap breast reconstruction: A 5-year Prospective Cohort Study and Instructional Video
Conclusion The total ‘rib’-preservation technique of IMV exposure is a safe, reliable and versatile method for microvascular breast reconstruction and should be considered as a valid alternative to the ‘rib’-sacrificing techniques. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 23, 2015 Category: Journals (General) Source Type: research

Effects of humeral intraosseous versus intravenous epinephrine on pharmacokinetics and return of spontaneous circulation in a porcine cardiac arrest model: A Randomized Control Trial
Publication date: Available online 22 August 2015 Source:Annals of Medicine and Surgery Author(s): Don Johnson, Jose Garcia-Blanco, James Burgert, Lawrence Fulton, Patrick Kadilak, Katherine Perry, Jeffrey Burke Cardiopulmonary Resuscitation (CPR), defibrillation, and epinephrine administration are pillars of advanced cardiac life support (ACLS). Intraosseous (IO) access is an alternative route for epinephrine administration when intravenous (IV) access is unobtainable. Previous studies indicate the pharmacokinetics of epinephrine administration via IO and IV routes differ, but it is not known if the difference in...
Source: Annals of Medicine and Surgery - August 23, 2015 Category: Journals (General) Source Type: research

Prominent ears: Anthropometric study of the external ear of primary school children of Harare, Zimbabwe
Conclusion The prevalence of prominent ear among black African children in the studied population is comparable to that of Caucasians. The study provides a set of biometric data of auricular dimensions for normal black African children aged 9 to 13 years. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 21, 2015 Category: Journals (General) Source Type: research

A Fitting Tribute to Epilepsia Partialis Continua
Publication date: Available online 18 August 2015 Source:Annals of Medicine and Surgery Author(s): Priyank Patel, Nirav Amin, Shreya B. Patel, Catrin Morgan In July 2014, a 66 year-old lady presented to emergency department after having not been seen for 3 days. She was eventually found in bed not responding verbally. The ambulance service reported tonic-clonic seizures lasting 10-30 seconds every 3 minutes. The patient was treated for her seizures with phenytoin and additional benzodiazepines as required. Her seizure had temporarily resolved and she was admitted for investigations. She had no history of epilepsy or ...
Source: Annals of Medicine and Surgery - August 19, 2015 Category: Journals (General) Source Type: research

Giant lipoma of the back affecting quality of life
Publication date: Available online 11 August 2015 Source:Annals of Medicine and Surgery Author(s): Olcay Guler, Serhat Mutlu, Mahir Mahirogulları Lipomas are benign tumors composed of adipose tissue. They may be localized in almost all body parts and may be in a giant form. Some of these giant lipomas may transform malignity and cause problems in daily living and detoriate quality of life. Mass localization also restrict body functions. In the present study, a 72-year-old man who presented with a mass enlarged in a time period of two years and because of this could not lie in the supine position, sit in an erect posi...
Source: Annals of Medicine and Surgery - August 12, 2015 Category: Journals (General) Source Type: research

Laparoscopic versus Open Surgery for Colorectal Cancer in the Older Person: A Systematic Review
Conclusion Large numbers of older people have been included in well-conducted, multi-centre, randomized controlled trials for laparoscopic and open colorectal cancer surgery. This systematic review suggests that age itself should not be a factor when considering the best surgical option for older patients. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 12, 2015 Category: Journals (General) Source Type: research

Severe cardiac trauma or myocardial ischemia? Pitfalls of polytrauma treatment in patients with ST-elevation after blunt chest trauma
Conclusion This case outlines the importance of understanding the key mechanism of injury and the importance of communication at each stage of healthcare transfer. A transesophageal echocardiography can help to identify injuries after myocardial contusion. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 11, 2015 Category: Journals (General) Source Type: research

Role of HLA typing on Crohn's disease pathogenesis
Publication date: Available online 4 August 2015 Source:Annals of Medicine and Surgery Author(s): Batool Mutar Mahdi Crohn's disease (CD) is the main type of chronic inflammatory bowel disease of unknown aetiology. Evidence from family and twin studies suggests that genetics plays a significant role in predisposing an individual to develop Crohn’s disease. A susceptibility locus for Crohn's disease has been mapped 3 to chromosome 16: a frameshift variant and two missense variants of NOD2, encoding a member of the Apaf-1/Ced-4 superfamily of apoptosis regulators which is expressed in hematopoietic compartment cells...
Source: Annals of Medicine and Surgery - August 5, 2015 Category: Journals (General) Source Type: research

"Severe Cardiac Trauma or Myocardial Ischemia? Pitfalls of polytrauma treatment in patients with ST-elevation after blunt chest trauma"
Conclusion This case outlines the importance of understanding the key mechanism of injury and the importance of communication at each stage of healthcare transfer. A transesophageal echocardiography can help to identify injuries after myocardial contusion. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 5, 2015 Category: Journals (General) Source Type: research

Intravenous immunoglobulin in necrotizing fasciitis – A case report and review of recent literature
Conclusion The demonstrated case suggests that IVIg treatment of patients with NF can be considered in case of hemodynamic unstable, critically ill patients. Although randomized controlled trials are missing, some patients might benefit from diminishing hyperinflammation by immunoglobins. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 2, 2015 Category: Journals (General) Source Type: research

Management of intestinal obstruction in advanced malignancy
Publication date: Available online 1 August 2015 Source:Annals of Medicine and Surgery Author(s): Henry John Murray Ferguson, Claire Irene Ferguson, John Speakman, Tariq Ismail Patients with incurable, advanced abdominal or pelvic malignancy often present to acute surgical departments with symptoms and signs of intestinal obstruction. It is rare for bowel strangulation to occur in these presentations, and spontaneous resolution often occurs, so the luxury of time should be afforded while decisions are made regarding surgery. Cross-sectional imaging is valuable in determining the underlying mechanism and pathology. Th...
Source: Annals of Medicine and Surgery - August 2, 2015 Category: Journals (General) Source Type: research

Complex Ventral Hernia Repair With A Human Acellular Dermal Matrix And Component Separation: A Case Series
Conclusion: Patients at high risk for post-operative events due to comorbidities, prior abdominal infection and failed mesh repairs do well following component separation reinforced with a human bioprosthetic mesh. Anticipated post-operative complications were managed conservatively and at a median 2-year follow-up, a low rate of hernia recurrence was observed with this approach. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - July 30, 2015 Category: Journals (General) Source Type: research

Isolated scapula fracture: Ice hockey player without trauma
Conclusion Scapular fractures are generally seen along with other injuries, but in this case we wanted to emphasize that care has to been taken to diagnose an isolated scapular fracture while assessing shoulder pain. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - July 30, 2015 Category: Journals (General) Source Type: research

Unnoticed biloma due to liver puncture after Veress needle insertion
We present a case where a biloma was developed after liver puncture by the Veress needle, during a laparoscopic procedure, and detected on the 3rd day. It was detected by CT scan and treated by laparoscopy. Biloma due to Veress needle is a new entity in the context of adverse events related to Veress needle insertion, which needs a high suspicious index. We recommend to do Palmer’s test and to check the insertion and to look for possible lesions below with the camera in order to minimize incidence of such injuries. Should this happen, laparoscopic or percutaneous drainage are both suitable alternatives to solve this ...
Source: Annals of Medicine and Surgery - July 30, 2015 Category: Journals (General) Source Type: research

Identification of the high risk emergency surgical patient: Which risk prediction model should be used?
Conclusions In the absence of accurate risk scoring tools that can be used on admission to hospital it is not possible to reliably audit the achievement of national standards of care for the 'high-risk' patient. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - July 27, 2015 Category: Journals (General) Source Type: research

Isolated pancreatic tail injury: A rare presentation
Conclusion Trauma to the pancreas is not common, and isolated pancreatic trauma is even less common. An isolated pancreatic injury may be missed or the diagnosis may be delayed because the initial symptoms and signs of pancreatic injury are subtle. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - July 27, 2015 Category: Journals (General) Source Type: research

Commentary on “Inhibition of interleukin-1beta decreases aneurysm formation and progression in a novel model of thoracic aortic aneurysms“
Publication date: Available online 26 July 2015 Source:Annals of Medicine and Surgery Author(s): Yonghua Bi, Hongshan Zhong, Xinwei Han, Ke Xu Aortic aneurysm is a silent but life-threatening disease, whose pathogenesis remains poorly understood. Aneurysm models have been induced in small animals to study its pathogenesis, Johnston WF et al. successfully induced a novel model of thoracic aortic aneurysms (TAA) by periadventitial application of elastase in mice.We comment on this model according to our experiment. We hypothesize that endogenous MMPs, especially MMP2, play a vital role in complex repair process of aneu...
Source: Annals of Medicine and Surgery - July 27, 2015 Category: Journals (General) Source Type: research

Step-Up Approach and Video Assisted Retroperitoneal Debridement in Infected Necrotizing Pancreatitis: A case complicated by Retroperitoneal Bleeding and Colonic Fistula
Conclusion Step-up approach and VARD is the new paradigm to treat necrotizing pancreatitis. Complications of bleeding and colon fistula are uncommon and require multi-disciplinary management. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - July 24, 2015 Category: Journals (General) Source Type: research

Open tuber calcaneus fracture caused by a meat cleaver: A case report
Conclusion Surgical techniques are successful in the treatment of open tuber calcanei fractures and an open intervention is usually required. Using cannulated screws is a good treatment option. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - July 18, 2015 Category: Journals (General) Source Type: research

Co-existence of acute appendicitis and inflammatory myofibroblastic tumor of the small intestine: A case report
Conclusion Coexistence of inflammatory myofibroblastic tumor located in the gastrointestinal system with acute appendicitis is a rare event. Complete surgical excision should be regarded as the mainstay of the treatment. Long-term follow up with serial imaging techniques is recommended. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - July 16, 2015 Category: Journals (General) Source Type: research

An Interesting case of Retrocaecal internal herniation causing Small bowel Obstruction
Publication date: Available online 26 June 2015 Source:Annals of Medicine and Surgery Author(s): A.O. Rae , A. Kalyanaraman , A.E. Ward , A.B. Harikrishnan Herein, we report a case of an elderly woman with multiple co-morbidities who presented with clinical findings indicative of small bowel obstruction (SBO), which was confirmed on a CT scan. She underwent a laparotomy, which demonstrated herniation of small bowel into a retrocaecal position. Gangrenous small bowel was resected and primary anastomosis performed. After a brief period on the High Dependency Unit (HDU), she returned to the ward and was discharged back to t...
Source: Annals of Medicine and Surgery - June 27, 2015 Category: Journals (General) Source Type: research

Lower extremity necrotizing fasciitis: A unique initial presentation of Crohn's disease
Publication date: September 2015 Source:Annals of Medicine and Surgery, Volume 4, Issue 3 Author(s): Anna Weiss , Bryan Sandler Crohn's disease is a disease of the bowel, typically presenting with diarrhea, weight loss, and abdominal pain. Complications such as abscesses, fistulas, and strictures may require surgical intervention. We would like to report a patient with Crohn's disease who presented for the first time with left lower extremity necrotizing fasciitis. There are very few reports of necrotizing fasciitis in Crohn's disease as the initial presentation. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 19, 2015 Category: Journals (General) Source Type: research

Incarceration of the hepatic lobe in incisional hernia: A case report
Conclusion Subcutaneous herniation of the left lobe of the liver passing through the abdominal wall is a very rare condition. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 5, 2015 Category: Journals (General) Source Type: research