Rescue of ankylosing hip following open reduction and internal fixation of acetabular fracture by surgical resection of heterotopic ossification: A case report
ConclusionWe considered that waiting for a long time before surgical resection of the heterotopic ossification would lead to more disability, and early resection of the heterotopic ossification was not a contraindication despite the fact that the uptake on the bone scan was still intense. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 20, 2018 Category: Surgery Source Type: research

Multiple isolated small bowel perforations following blunt abdominal trauma. Case Report
ConclusionThe diagnosis of small bowel injury is difficult and a low threshold of suspicion is crucial to reduce morbidity and mortality. Hemodynamic instability or abdominal tenderness after blunt abdominal trauma are indications for immediate surgical exploration, despite of negative imaging findings. Serial clinical assessment is the main decision tool to perform an abdominal exploration. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 20, 2018 Category: Surgery Source Type: research

The Lost Stone – Laparoscopic Exploration of Abscess Cavity and Retrieval of Lost Gallstone Post Cholecystectomy: A case series and review of the literature
ConclusionLaparoscopic exploration of an abscess cavity is a feasible and safe technique treating long-term complications of gallbladder perforation post LC. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 20, 2018 Category: Surgery Source Type: research

Challenges in Managing A Vagal Schwannomas: Lesson Learnt
ConclusionVagal schwannoma is a rare paraganglioma of head and neck and the best treatment is still controversial. Unnecessary investigation and procedure should be avoided in order to reduce morbidity as well as improves patient’s quality of life. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 20, 2018 Category: Surgery Source Type: research

Report of Metastatic Ileal Neuroendocrine Tumour to the Submandibular Gland
CONCLUSIONWe report the first case of ileal NET metastasis to the submandibular gland. Familiarity with the carcinoid syndrome and associated physiology should be maintained as it can affect the head and neck on rare occasions. Maintaining a broad differential is key in diagnosis of undifferentiated neck masses. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 20, 2018 Category: Surgery Source Type: research

Angiomyxoma of The Ureter Imitating an Upper Tract Urothelial Carcinoma: A Case Report
CONCLUSIONAngiomyxomas are notorious for their locally infiltrative nature and their propensity to recur. Clinical suspicion is capital to reach the diagnosis and a holistic care is key to a good outcome. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 20, 2018 Category: Surgery Source Type: research

A rare case of gradual enlargement of a multifocal myelolipoma of the posterior mediastinum for 12 years after surgical resection of an adrenal myelolipoma
ConclusionA differential diagnosis of myelolipoma of the posterior mediastinum is important in patients with a history of myelolipoma of the adrenal gland. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 19, 2018 Category: Surgery Source Type: research

Hepatic myomatous angiomyolipoma diagnosedpreoperatively from specific imaging features: A case report
ConclusionHepatic myomatous angiomyolipoma is a rare tumour. We illustrated the two specific imaging features to diagnose it preoperatively. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 19, 2018 Category: Surgery Source Type: research

Solitary hydatid cyst in the forearm: A case report
ConclusionBy reporting this rare case of a solitary intramuscular forearm hydatid cyst, we aim to increase the awareness of unusual sites for the appearance of hydatid cysts. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 19, 2018 Category: Surgery Source Type: research

Mediastinal ectopic thyroid mass with normal thyroid function and location: Case report
ConclusionETT in the mediastinum is very rare and can be associated with normal thyroid function and normal thyroid anatomical location. It should be differentiated from substernal goiter. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 19, 2018 Category: Surgery Source Type: research

A Proliferating Trichilemmal Cyst in the Perianal Region: A Case Report
CONCLUSIONThe development of PTC in the perianal region is an exceptional occurrence, and when it does occur, surgical treatment should always be indicated because of the risk of malignant degeneration to form epidermoid carcinoma. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 19, 2018 Category: Surgery Source Type: research

Pure mucinous breast carcinoma in a 25-year-old female, a case report
CONCLUSIONDue to its benign course, it is important to know that this lesion can also present in young patients. The importance underlies in the multidisciplinary management at the right time in a proper way. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 18, 2018 Category: Surgery Source Type: research

A Case report of a concomitant total thyroidectomy and carotid body tumor resection in a 43 year old female
ConclusionThis case reinforce the concomitant assessment in two different pathologies. Although there is one case reported before, this case lead to improvement in the treatment of these patients. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 17, 2018 Category: Surgery Source Type: research

Early physical therapy intervention in gynaecological surgery: “Case series”
ConclusionsThe physical therapy protocol could be implemented, and the patients’ adherence was satisfactory. Early ambulation can be optimised, and the participants began ambulation starting at 13 h after surgery. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 17, 2018 Category: Surgery Source Type: research

Juxta-adrenal schwannoma presenting as a giant adrenal tumor: a case report and a literature review
ConclusionComplete surgical resection is the treatment of choice for RS and open surgery is the safest option when we have big tumors. Histology and Immunohistochemistry confirms the diagnosis that can be easily missed preoperatively. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 17, 2018 Category: Surgery Source Type: research

Small bowel obstruction secondary to left paraduodenal hernia: a case report and literature review
ConclusionCIH is a rare condition due to embryologic developmental abnormalities. Their diagnosis is based on pathognomonic findings on computed tomography scanner (CTscan). Surgical treatment is the mainstay treatment. Delay diagnosis of strangulated CIH is associated with significant morbidity andmortality. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 13, 2018 Category: Surgery Source Type: research

Patients who achieved long-term clinical complete response and subsequently terminated multidisciplinary and anti-HER2 therapy for metastatic breast cancer: a case series
ConclusionThere is no evidence that systemic therapy can be safely terminated after a specific time period, although adverse events (e.g., cardiotoxicity) and unnecessary treatment should be avoided. Thus, it is possible that select patients may be suitable for termination of systemic therapy after they have achieved a prolonged period of cCR. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 13, 2018 Category: Surgery Source Type: research

Chronic anemia due to transmural e-PTFE anti-adhesive barrier mesh migration in the small bowel after open incisional hernia repair: A case report
ConclusionTransmural migration of composite mesh is an uncommon complication of incisional hernia repair. Its pathogenesis is still not completely clear but it has been reported many years after implant surgery. It should be considered in atypical presentation of patients with history of previous prosthetic ventral hernia repair. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 13, 2018 Category: Surgery Source Type: research

Esophageal adenocarcinoma in Barrett's esophagus after sleeve gastrectomy: Case report and literature review
Conclusion: Preoperative endoscopy should be performed in order to detect GERD, BE, and potential carcinomas of the upper gastrointestinal tract before undergoing bariatric surgery. The long-term monitoring after SG is essential. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 13, 2018 Category: Surgery Source Type: research

A salpingeal carcinoma revealed after prophylactic salpingoophorectomy in an asymptomatic BRCA1 carrier with breast malignancy
CONCLUSIONWe present an interesting case, of an accidentally revealed salpingeal carcinoma via RRSO in an asymptomatic young premenopausal woman. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 12, 2018 Category: Surgery Source Type: research

Hepatic Epithelioid hemangioendothelioma: a great mimicker
ConclusionEpithelioid hemangioendothelioma must be part of our differential diagnosis when we find a liver tumour, especially in young women. Treatment is excision of the tumour in limited disease. In the case of unresectable disease are candidates for liver transplantation (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 12, 2018 Category: Surgery Source Type: research

Warfarin induced Mesenteric and Intestinal hematoma requiring surgical resection to relieve small bowel obstruction: A Case report
ConclusionTherefore, early diagnosis is vitally essential to avoid morbidity in patients with these symptoms. Physician should have a higher index of suspicion to recognize and diagnose this complication is essential for early treatment intervention to prevent morbidity. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 12, 2018 Category: Surgery Source Type: research

Splenic epithelial cyst mistaken with Hydatid cyst: a case report
ConclusionSEC is a rare pathology that could mimic splenic hydatid cyst. The clinical and radiological pictures may be commonly misleading and non-conclusive. Definitive diagnosis is made on histopathology. Spleen conserving surgery, when possible, is the preferred modality for treatment. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 12, 2018 Category: Surgery Source Type: research

Aggressive fibromatosis in pediatric population—A case series
Conclusion & recommendationThe conclusion of our study was that aggressive fibromatosis is more prevalent in children below 15 years of age and disease burden is higher in male gender. Positive margins after surgery indicate a high risk for disease recurrence therefore; primary surgery with negative margins is the treatment of choice for children with AF. However, we recommend that multicenter trials should be conducted in the future to clarify the role of adjuvant treatment for patients with pediatric AF. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2018 Category: Surgery Source Type: research

Totally endoscopic atrial septal defect repair using direct aortic cannulation in a 10.5-kg-boy
CONCLUSIONDirect aortic cannulation may facilitate TES in small children. However, the safety and efficacy of this approach needs to be validated by larger studies preferably randomised controlled trials. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2018 Category: Surgery Source Type: research

"Early physical therapy intervention in gynaecological surgery: “case series”
ConclusionsThe physical therapy protocol could be implemented, and the patients’ adherence was satisfactory. Early ambulation can be optimised, and the participants began ambulation starting at 13 hours after surgery. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2018 Category: Surgery Source Type: research

Laparoscopic treatment of median arcuate ligament syndrome in a 16-year-old male
ConclusionLaparoscopic division of the median arcuate ligament is a minimally invasive, safe, and effective method for decompression of the celiac artery. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2018 Category: Surgery Source Type: research

Cyst of the Canal of Nuck Mimicking Inguinal Hernia
CONCLUSIONSNuck canal cysts should be considered in the differential diagnosis of cases of female patient's complaints of swelling in the inguinal region. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2018 Category: Surgery Source Type: research

Extensive colonic pneumatosis in a patient on adjuvant chemotherapy after right colectomy for primary terminal ileum lymphoma: A decision-making process between surgical and non-surgical management
ConclusionIn analogous cases, the main dilemma for the physicians is to identify whether surgical intervention is required or not. Given the potential severity of pneumatosis intestinalis, early diagnosis and recognition of its severity is critical as it would dictate surgical or non-surgical management. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 9, 2018 Category: Surgery Source Type: research

Laparoscopic-thoracoscopic esophageal resection in the treatment of giant epiphrenic esophageal diverticulum (Ivor Lewis operation): case report
CONCLUSIONWe have established that in case of necrobiotic changes in the esophageal wall in the area of the diverticulum, this tactic is completely justified because of the greater patient safety and the less risk of the stapler suture line dehiscence. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 8, 2018 Category: Surgery Source Type: research

Intestinal obstruction caused by a laxative drug (Psyllium): A case report and review of the literature
ConclusionPsyllium can worsen the constipation if not taken appropriately. It is important to instruct patients who are receiving psyllium ingredients to drink a good amount of fluids to avoid the development of bowel obstruction especially in long-term use of such laxatives. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 8, 2018 Category: Surgery Source Type: research

Penetrating Thoracic Ice Pick Injury Extending into Pulmonary Artery: Report of a case
ConclusionEarly removal of the foreign body is recommended to prevent further damage to the heart. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 8, 2018 Category: Surgery Source Type: research

En bloc liver-kidney transplantation with renal artery variation using donor splenic artery and left gastric artery as inflow to the kidney: case report
CONCLUSIONWith increasing numbers of simultaneous liver-kidney transplants being performed, kidneys with multiple renal arteries can successfully be transplanted en-bloc without compromising ischemia time. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 8, 2018 Category: Surgery Source Type: research

Lymphangioma of the heart as a rare tumor: a case report
ConclusionThere is no specific investigation for diagnosing cardiac lymphangiomas, and though benign, they should be considered in the differential diagnosis of other malignant diseases of the mediastinum and definitive pathologic diagnosis is mandatory. Given the increased risk of uncontrolled bleeding related to percutaneous biopsy, the definite diagnosis is usually obtained with open surgical biopsy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 8, 2018 Category: Surgery Source Type: research

Breast tuberculosis cases rising in Sicily
ConclusionsNowadays the differential diagnosis between breast cancer and breast tubercolosis is very important, mostly in Italy and in particular in Sicily, where the massive influx of immigrants has compelled phisicians to reconsider the presence of tubercolosis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 8, 2018 Category: Surgery Source Type: research

Laparoscopic ileocecal resection can be applied for appendiceal cancer with an ileal fistula: A case report
ConclusionThis is the first case report of appendiceal cancer with an ileal fistula that successfully treated with laparoscopic resection. Laparoscopic ileocecal resection can be applied for appendiceal cancers with a fistula by experienced surgeons with careful consideration. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 8, 2018 Category: Surgery Source Type: research

A Rarity in Breast Pathology: First Recurrent Male Case of Rosai-Dorfman Disease
ConclusionDefinitive treatment for RDD of the breast and PASH has not been established. Based on the available data in the literature, our conclusion is that recurrent RDD of the breast can be observed without need for surgical therapy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 8, 2018 Category: Surgery Source Type: research

Intraoperative catheter directed thrombolytic therapy for the treatment of superior mesenteric and portal Vein thrombosis
ConclusionWe report a case of extensive portal vein thrombosis(PVT) advancing proximally to involve the superior mesenteric vein. Rapid portal vein patency and improved hepatic function was achieved with the direct use of tissue plasminogen activator infusion via operatively placed middle colic vein catheter. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 6, 2018 Category: Surgery Source Type: research

Primary pelvic hydatid cyst: a rare case presenting with obstructive uropathy
ConclusionFamiliarity with atypical manifestations of hydatid disease may be helpful in making a prompt and accurate diagnosis. Surgery is the treatment of choice. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 6, 2018 Category: Surgery Source Type: research

A rare complication in a liver transplant patient: Meckel diverticulum perforation due to biliary stent
ConclusionsPerforation due to stent migration should also be considered in differential diagnosis in patients with a biliary stent and Acute Abdomen (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

A case of obstructive jaundice due to early carcinoma of the cystic duct protruding into the common bile duct
ConclusionTo our knowledge, this is the first case report of obstructive jaundice due to early carcinoma of the cystic duct protruding into the bile duct, with characteristics fulfilling the Farrar criteria. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Necrotizing fasciitis of chest and right abdominal wall caused by acute perforated appendicitis: Case report
ConclusionAcute appendicitis resulting in necrotizing fasciitis of chest is rare but life-threatening. Early diagnosis and treatment is essential to reduce morbidity and mortality. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Colon perforation caused by swallowing a shrimp leg: A case report
ConclusionPerforation of colon by shrimp leg is very rare and not reported currently. Although some cases have been successfully treated chronic foreign-body perforation with abscess by using antibiotics alone, typical treatments remains surgical drainage of the abscess and removal of foreign body. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

A case report of Lipoblastoma: presenting as a swelling in the nape of the neck of 14 years old girl
ConclusionLipoblastoma can rarely present as swelling in the nape of neck in adolescents. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Successful treatment for severe pancreatitis with colonic perforation using video-assisted retroperitoneal debridement: a case report
ConclusionsVARD enabled less invasive treatment for patients with large retroperitoneal abscess due to colonic necrotizing perforation in severe pancreatitis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Aggressive fibromatosis in pediatric population, a case series
Conclusion & recommendationThe conclusion of our study was that aggressive fibromatosis is more prevalent in children below 15 years of age and disease burden is higher in male gender. Positive margins after surgery indicate a high risk for disease recurrence therefore; primary surgery with negative margins is the treatment of choice for children with AF. However, we recommend that multicenter trials should be conducted in the future to clarify the role of adjuvant treatment for patients with pediatric AF. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Stone in the distal jejunum presenting as small bowel obstruction: A case report
ConclusionGallstone ileus needs to be kept in the differential diagnosis list of intestinal obstruction in middle aged patients even in the absence of history of gallstones as this may be the first presentation of gallstone disease. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Jaw Tumor in Recurrent Primary Hyperparathyroidism; A Case Report
ConclusionsPrimary or secondary HPT may be recognized by the presence of an osteolytic lesion with giant cells, a condition referred as brown tumor. Consideration should be made that non-specificity of hypercalcemia symptoms can also be a bone tumor including jaw lesion as a manifestation of hyperparathyroidism. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Cystic mixed adenoneuroendocrine carcinoma of the pancreas: A case report
ConclusionThe clinicopathological features of pancreatic MANEC remain unclear; therefore, more reports of cases of pancreatic MANEC are necessary for a complete analysis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Incarcerated Amyand’s hernia: A case report
ConclusionSurgical treatment depends on surgeon’s experience and on clinical evaluation because there are many factors that may increase morbidity and mortality. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research