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Primary Ewing ’s sarcoma of the kidney: a case report
Publication date: Available online 13 October 2017 Source:International Journal of Surgery Case Reports Author(s): Faris Alasmari, Hani Albadawe, Sultan Alkhateeb, Fahd Alsufiani, Samirah Ghandurah This is a 15-year-old female who presented with sudden onset left flank pain associated with nausea and vomiting and a history of weight loss. Radiological investigation revealed a large non-obstructive tumor involving the lower pole of the left kidney which was primarily thought to be a renal cell tumor carcinoma. She underwent left open radical nephrectomy with adrenalectomy. Histopathology of the resected specimen showed fea...
Source: International Journal of Surgery Case Reports - October 14, 2017 Category: Surgery Source Type: research

Giant gastric lipoma presenting as GI bleed: Enucleation or Resection?
We report the case of a 62-year-old gentleman who presented to the emergency department with massive upper GI hemorrhage. He was initially resuscitated and stabilized. Later gastroscopy showed a large submucosal tumour (Fig. 1). Biopsy revealed adipose tissue. Computed tomography (CT) scan of the abdomen and pelvis showed a huge well defined oval soft tissue lesion measuring about 16×8×8cm. The mass noted a homogenous fat density arising from the posterior wall of stomach with no extramural infiltration (Fig. 2). The tumour was completely enucleated through an explorative gastrotomy incision (Fig. 4). Discussio...
Source: International Journal of Surgery Case Reports - October 13, 2017 Category: Surgery Source Type: research

Malignant fibrous histiocytoma in the right portion of the mandible with metastasis in pancreas
Conclusion Malignant fibrous histiocytoma is a potentially curable disease. The most important part of the treatment is complete surgical removal, usually followed by adjuvant radiation therapy. Chemotherapy is a treatment usually used only on those patients with higher recurrence risk or on those showingrecurrence or who have already showed recurrence. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 13, 2017 Category: Surgery Source Type: research

Reno-portal shunt for liver transplant, an alternative inflow for recipients with grade III –IV portal vein thrombosis: Tips for a better outcome
Conclusion We believe that meticulous preoperative planning with high-resolution triple phase CT imaging with a measurement of the diameter of the spleno-renal shunt along with a duplex scan measuring flow through the shunt is key to a successful transplantation. Moreover, appropriate donor liver size is also of extreme importance to avoid portal hypoperfusion. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 13, 2017 Category: Surgery Source Type: research

A case report of choledocholithiasis 33 years after cholecystectomy
Conclusion The patient underwent biliary sphincterotomy and sludge and stone fragments were swept from the biliary tree. To our knowledge, a latency of 33 years between cholecystectomy and choledocholithiasis has never been reported before, at least not in a patient without coexisting duodenal diverticulum, a condition associated with lithiasis of the common bile duct. Our case raises discussion of potential etiologies for such long latency, including surgical clip migration, remnant cystic duct lithiasis, and primary choledocholithiasis; and further details the incidence of such long latency periods following cholecystect...
Source: International Journal of Surgery Case Reports - October 13, 2017 Category: Surgery Source Type: research

Iatrogenic gastric perforation in a misdiagnosed case of late presenting congenital diaphragmatic hernia: Report of an avoidable complication
Conclusion Surgical intervention in misdiagnosed cases can lead to catastrophic iatrogenic complications. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 13, 2017 Category: Surgery Source Type: research

Adult primary cervical extra-osseous Ewing ’s sarcoma: A case report and short literature review
Conclusions Adult primary cervical epidural EES is a neurosurgical challenge due to the extension to the surrounding vital structures making the tumor not amenable for total resection as in the present case. In the absence of specific therapeutic guidelines, our case highlights the need to individualize the treatment modality according to age, tumor extension, and feasibility of total tumor resection. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 13, 2017 Category: Surgery Source Type: research

Component separation of abdominal wall with intraoperative botulinum A presents satisfactory outcomes in large incisional hernias: A case report
Conclusion In our service, the incidence of incisional hernias following liver transplantation is 14.5%. We described a successful approach for selected patient group for whom there is no established standard treatment. Given the complexity of such cases, however, more studies are necessary. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 13, 2017 Category: Surgery Source Type: research

Transverse testicular ectopia with inguinal hernia – A rare case report
Conclusion This rare anomaly is usually diagnosed incidentally during surgical exploration and carries importance due to risk of malignant transformation of the ectopic testis. Therefore it needs specific long term follow up after orchiopexy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 12, 2017 Category: Surgery Source Type: research

Dynamic right ventricular outflow obstruction: a rare cause of hypotension during anestesia induction
CONCLUSIONS RVOTO is an unusual, but possible cause of severe arterial hypotension during general anesthesia induction. TEE is useful for the evaluation of severely hypotensive patients who do not respond to routine treatment with fluids and vasoconstrictors. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 12, 2017 Category: Surgery Source Type: research

Hepatic artery aneurysm causing gastrointestinal haemorrhage – Case report and literature review
Conclusion In the case of treatment refractory duodenal haemorrhage, a visceral aneurysm should be considered. Even though angiography is performed, a HAA may remain undetected due to bleeding cessation. Improved computed tomography modalities could aid in the detection of gastrointestinal haemorrhage from HAAs, and ensure timely treatment by endovascular methods or surgery if the diagnosis is kept in mind in the initial evaluation. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2017 Category: Surgery Source Type: research

Peritoneal carcinomatosis-like implants of extramedullary hematopoiesis. An insolite occurrence during splenectomy for myelofibrosis
Conclusion In primary myelofibrosis it must always be kept in mind the possible presence of peritoneal implants of extramedullary hematopoiesis and ascites of reactive genesis. We report a rare case of peritoneal carcinomatosis-like implants of extramedullary hematopoiesis found at splenectomy for MF. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2017 Category: Surgery Source Type: research

Diagnosis and Operative Management of a Perforated De Garengeot Hernia
CONCLUSION Full preoperative workup for a femoral hernia often fails to diagnose the presence of the Appendix within the hernia. It is important to have a high clinical suspicion for a de Garengeot’s hernia in patients with incarcerated or strangulated right femoral hernias. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2017 Category: Surgery Source Type: research

Anatomic variation of the relation between the facial nerve and the retromandibular vein during superficial parotidectomy: A rare case report
Conclusion Surgeons’ deep knowledge and perpetual awareness concerning the probable anatomic variations of the relation between the FN and the RMV combined with detailed exposure of the operative field and of the relationship between these adjacent anatomical structures lead to safe parotid surgery. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2017 Category: Surgery Source Type: research

Avoiding the Pocket: A Case Report of Coiling of Distal Shunt Catheter into Subcutaneous Pocket
Conclusion It is imperative to recognize patients with previous surgeries, especially those involving subcutaneous implants and to avoid passing of distal shunt catheters through these potential spaces. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2017 Category: Surgery Source Type: research

Aplasia Cutis Congenita as a Result of Interstitial Laser Therapy for Fetal Reduction in Monochorionic Twins: Conservative Approach and Outcome
We report ACC in a preterm infant, a survivor of interstitial laser therapy for fetal reduction in MC pregnancy. Despite of massive skin lesions we were able to manage this case conservatively. Follow-up at 5 years of age revealed minimal scarring and no motor function limitations. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2017 Category: Surgery Source Type: research

Facial Dog Bite Injuries in Children: A Case Report
Conclusion This case shows a case of a child patient victim of animal bite, with lesions limited to the region of the face. The patient was followed up for a month and showed good wound healing without any complications. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2017 Category: Surgery Source Type: research

First Irish and tenth case of small bowel obstruction secondary to suprapubic catheterisation in the world. Case report and case review of a rare complication of suprapubic catheterisation
Conclusions From the extensive literature search we found that there are only nine cases reported so far globally, and our case is first Irish and tenth international case of bowel obstruction secondary to SPC. Significantly distended bladder, use of ultrasound and extra precaution in elderly patients can reduce the risk of damage to bowel. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2017 Category: Surgery Source Type: research

Challenging Case Of Horseshoe Kidney Double Fracture
Conclusion: the interest in our case lies in the rarity and particular anatomical aspect of such injuries and the implication related to its management in an emergency setting. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 11, 2017 Category: Surgery Source Type: research

A parapharyngeal space schwannoma arising from the vagus nerve: A case report
Conclusion Vagal schwannomas in the parapharyngeal space are rare. They usually present in the form of an isolated intraoral or neck mass. A positive diagnosis is made on imaging and confirmed by histopathological examination. Complete surgical excision is the treatment of choice and recurrence rates are low. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 10, 2017 Category: Surgery Source Type: research

Colonoscopy-induced right superior rectal artery tear: a case report
Conclusion Identification and careful evaluation are crucial for successful diagnosis and treatment in cases such as this after colonoscopy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 10, 2017 Category: Surgery Source Type: research

Undifferentiated pleomorphic sarcoma of the neck – A case report
We report a case of a 62year old man who presented with a right sided skin lump which he noticed after sustaining a neck contusion in a road traffic accident about one year ago. The initial CT and ultrasound scans of the lump were suggestive of a thrombosed varix. Clinical examination showed a hard skin nodule with signs of tethering. He underwent a wide excision of the skin nodule and the histology showed undifferentiated pleomorphic sarcoma with margins involved. He subsequently underwent another re-excision of margins and pectoralis major flap reconstruction. Following surgery, he was also prescribed adjuvant radiothera...
Source: International Journal of Surgery Case Reports - October 10, 2017 Category: Surgery Source Type: research

Peritoneal carcinomatosis-like implants of extramedullary hematopoiesis.An insolite occurrence during splenectomy for Myelofibrosis.
CONCLUSION In primary myelofibrosis it must always be kept in mind the possible presence of peritoneal implants of extramedullary hematopoiesis and ascites of reactive genesis. We report a rare case of peritoneal carcinomatosis-like implants of extramedullary hematopoiesis found at splenectomy for MF. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 9, 2017 Category: Surgery Source Type: research

An unusual case of transpelvic impalement injury: A case-report
Conclusion Impalement injury is a serious injury that needs a multidisciplinary team with a coordinated approach to achieve a favorable outcome. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 7, 2017 Category: Surgery Source Type: research

A case report of endometriosis presenting as an acute small bowel obstruction
CONCLUSION Endometriosis as a differential should be considered with a high index of suspicion in pre-menopausal women, particularly in patients with negligible previous surgical history. There should be a low threshold for early laparoscopy and resection of affected bowel in these patients. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 6, 2017 Category: Surgery Source Type: research

A case of dedifferentiated liposarcoma of the heart and stomach
Conclusion Chemotherapy and radiotherapy are only adjunctive therapies but not es as standard treatment for cardiac tumors. Therefore, we believe that wide surgical resection was the best choice of treatment in the present case. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 6, 2017 Category: Surgery Source Type: research

Giant gastric lipoma presenting as GI bleed: Enucleation or Resection? Case report and literature review
CONCLUSION Massive bleeding secondary to a giant gastric lipoma is a rare finding of a rare disease. The majority of cases in the literature result in major gastric resection. Familiarity with its radiological findings and a high index of suspicion can lead to proper diagnosis in the acute setting. If malignancy is carefully ruled out, stomach preserving surgery is an optimal treatment option. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 6, 2017 Category: Surgery Source Type: research

Transverse aberrant testicular maldescent with inguinal hernia — A rare case report
CONCLUSION This rare anomaly is usually diagnosed incidentally during surgical exploration and carries importance due to risk of malignant transformation of the ectopic testis. Therefore it needs specific long term follow up after orchiopexy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 6, 2017 Category: Surgery Source Type: research

Use of biologic mesh at ostomy takedown to prevent incisional hernia: A case series
Conclusion We conclude that placement of biologic mesh is a safe and effective way of preventing incisional hernias at stoma sites. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 6, 2017 Category: Surgery Source Type: research

Parasitic Leiomyoma: A case report with literature review
Conclusion Parasitic leiomyoma is an extremely rare subtype of uterine leiomyoma, presents with vague symptoms, diagnosed by ultrasound and managed by complete resection. Previous uterine procedures have been implicated in its etiology. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 6, 2017 Category: Surgery Source Type: research

Viability of permanent PMMA spacer with combined free fasciocutaneous tissue transfer for failed charcot reconstruction: A 38 month prospective case report
Conclusion The use of a permanent PMMA cement spacer does not preclude free tissue transfer in complex host lower extremity reconstruction. A multidisciplinary team approach is a vital component to successful salvage outcomes. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 4, 2017 Category: Surgery Source Type: research

Complicated acute appendicitis presenting as an abscess in the abdominal wall in an elderly patient: A case report
Conclusion The onset of an abdominal wall abscess without a known cause needs to be thoroughly investigated, with consideration of a subjacent abdominal cause and appendicitis necessitatis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 4, 2017 Category: Surgery Source Type: research

Hepatic artery aneurysm causing gastrointestinal haemorrhage Case report and literature review
Conclusion In the case of treatment refractory duodenal haemorrhage, a visceral aneurysm should be considered. Even though angiography is performed, a HAA may remain undetected due to bleeding cessation. Improved computed tomography modalities could aid in the detection of gastrointestinal haemorrhage from HAAs, and ensure timely treatment by endovascular methods or surgery if the diagnosis is kept in mind in the initial evaluation. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 4, 2017 Category: Surgery Source Type: research

Clinicopathology and treatment of a giant malignant phyllodes tumor of the breast: A case report and literature review
Conclusion Our case management approach shows that for patients with malignant PT, a thorough preoperative workup regimen followed by appropriate surgical intervention can result in a desirable prognosis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 4, 2017 Category: Surgery Source Type: research

Ovarian vein thrombosis after total laparoscopic hysterectomy with unilateral adnexectomy: A case report
Conclusion Our case is a very rare condition. Only two ‘similar’ cases have been described in the literature so far. Bipolar electrocautery and ovariopexy on the ipsilateral round ligament during laparoscopic hysterectomy should be evaluated further as possible contributing mechanisms for the thrombus formation. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 4, 2017 Category: Surgery Source Type: research

Computed tomography fistulography of the sternum should be done in collaboration between surgeon and radiologist – A case report
Conclusion Our case demonstrates the importance of performing a fistulography with the presence of a surgeon, to obtain the best possible result. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 4, 2017 Category: Surgery Source Type: research

Acute intermittent porphyria after right hemi-colectomy
Conclusion Acute intermittent porphyria should be suspected in any patient, particularly young women, who develop diverse neuro-visceral and psychiatric manifestations and hyponatremia after surgery. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 28, 2017 Category: Surgery Source Type: research

Two Concurrent Appendiceal Neoplasms in an Elderly Patient: A Case Report
CONCLUSION The role and timing of right hemicolectomy in treating appendiceal cancers remain controversial, and should be evaluated on a case by case basis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 28, 2017 Category: Surgery Source Type: research

Stomach perforation post cardiopulmonary resuscitation —A case report
Conclusion A high degree of vigilance is required in patients presenting after a cardiac arrest and CPR. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 27, 2017 Category: Surgery Source Type: research

Leiomyomatosis peritonealis disseminata: A case report and meticulous review of the literature
Conclusion Surgeons’ thorough knowledge concerning this rare clinical condition is fundamental and crucial in order to establish a correct diagnosis and assert the appropriate treatment and the minimization of the probability of malignant transformation of LPD. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 23, 2017 Category: Surgery Source Type: research

Pancreatic Solid Serous Cystadenoma treated by laparoscopy: Presentation of A New Case Report and Review of the Literature
Publication date: Available online 23 September 2017 Source:International Journal of Surgery Case Reports Author(s): Mohamed Hamid, Mohamed Tbouda, Anass Mohamed Majbar, Mohamed Raiss, Mohamed Ahallat Solid serous cystadenoma is an uncommon benign pancreatic tumor, with only, including this case, 21 cases published so far. It is often misdiagnosis with other malignant pancreatic tumors. Below we report a new case of a solid serous cystadenoma of the pancreas treated by laparoscopic distal pancreatectomy in 53-year-old female who presented with epigastric pain. Histological and immunohistochemical examination revealed a so...
Source: International Journal of Surgery Case Reports - September 23, 2017 Category: Surgery Source Type: research

Successful Resection of locally infiltrative Glomus Tumor without pulmonary resection
CONCLUSION Two term resections enabled us to make an accurate diagnosis and evaluation, thereby preserving respiratory function without pulmonary resection. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 23, 2017 Category: Surgery Source Type: research

Superior sternoclavicular dislocation: a case report
Conclusion Superior sternoclavicular dislocation is a rare condition, with only three published cases up to now. Functional treatment can be used without complications. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 23, 2017 Category: Surgery Source Type: research

Case report of a littoral cell angioma of the spleen and accessory spleens: A benign vascular tumour
Conclusion This rare condition is made even more rare by the presence of the tumour in the two accessory spleens as well. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 23, 2017 Category: Surgery Source Type: research

Follicular adenoma in ectopic thyroid. A case-report
Conclusion It should not be forgotten that ectopic thyroid tissue can be a site for adenoma or papillary carcinoma and thus any watch and wait strategy should be avoided. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 22, 2017 Category: Surgery Source Type: research

Trichobezoar with and without Rapunzel syndrome in paediatric population: A case series from a tertiary care centre of Northern India
Conclusion Trichobezoar leading to Rapunzel syndrome is an extremely rare entity. The clinical presentation is usually vague and non-specific. Treatment is mainly surgical because of delayed presentation in majority of the cases. Psychiatric illness is the usual association. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 15, 2017 Category: Surgery Source Type: research

Perforated Jejunal Diverticulitis in a Nonagenarian Veteran: A Case Report
Conclusion Perforation from JD is exceedingly rare. Due to their infrequent clinical significance, complications from JD are difficult to diagnose and therapeutic options are typically made intraoperatively. Any deviation from the expected positive pathway in the management of a suspected entity should prompt an immediate reassessment as well as definitive therapeutic options. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 15, 2017 Category: Surgery Source Type: research

Invasive Gastric Mucormycosis: A Case Report of a Deadly Complication in an Immunocompromised Patient After Penetrating Trauma
Publication date: Available online 15 September 2017 Source:International Journal of Surgery Case Reports Author(s): Kevin L. Chow, David P. McElmeel, Henry G. Brown, Muhammad S. Tabriz, Ellen C. Omi (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 15, 2017 Category: Surgery Source Type: research

Surgical experience of laparoscopic retroperitoneal triple neurectomy for a patient with chronic neuropathic inguinodynia
Conclusions Laparoscopic retroperitoneal triple neurectomy is useful for treating refractory neuropathic pain. The diagnosis of neuropathic pain via thorough preoperative assessment is vital for procedure success because the procedure would not be effective for other types of pain. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 15, 2017 Category: Surgery Source Type: research

Intraductal papillary mucinous neoplasm of the pancreas associated with neuroendocrine tumor: a case report
CONCLUSION Although the major concern during work-up of IPMN is presence of associated pancreatic ductal adenocarcinoma, the possibility of neuroendocrine tumor, in the presence of a hypervascular solid foci on imaging studies should be kept in mind. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 14, 2017 Category: Surgery Source Type: research