Dyspnoea, thoracic pain and fever in a young caucasian female: A case report
ConclusionsMediastinal masses with an aggressive behavior, should always be considered to be potentially malignant. Surgical biopsy, sometimes, can be the only way to correctly diagnose the pathological process, especially in the case of Hodgkin’s lymphoma in which few diagnostic cells (Reed-Sternberg cells) are generally embedded in an abundant inflammatory background tissue. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Karakousis’s abdominoinguinal approach for the treatment of a primary retroperitoneal parasitic leiomyoma with inguinal extension. A case report
ConclusionsPRPL is a rare extrauterine entity probably derived from remnant embryogenic cells. The absence of clinical guidelines recommend an individualized treatment of these patients. Karakousis’s abdominoinguinal approach should be present in any surgeon’s armamentarium as the resectability-rate of tumors of the lower quadrant of the abdomen increases up to 95%. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Case report of an uncommon case of drain-site hernia after colorectal surgery
Conclusionswaiting for further studies, the lesson to be learnt from this case report is that, even if the free space after drain positioning is minimal, drain should not be positioned through the 10 mm trocar to allow the closure of fascial defect in order to avoid any herniation. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Controversial case: Revascularization of a popliteal vascular injury of poor prognosis
ConclusionOur results suggest the need to revisit and improve the predicting indicators scores for amputation prognosis that should include a preoperative and transoperative analysis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Colonic intussusception caused by a sigmoidal lipoma: A Case Report
ConclusionColo-colonic intussusception is a very rare complication of lipoma. It is determined that the treatment is surgical due to the risk of malignancy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Laparoscopic management of refractory chylous ascites using fluorescence navigation with indocyanine green: A case report
Conclusionwe reported successful laparoscopic management of refractory chylous ascites using fluorescence navigation with indocyanine green. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Myoepithelial Carcinoma or Epithelioid Sarcoma - A Rare Diagnosis with Poor Prognosis. A Case Report and Review of Literature
ConclusionThis case highlights the difficulty in making a definitive diagnosis, and the importance in identifying a SMARCB1 deficiency as it will affect treatment options and may allow for enrollment in ongoing clinical trials. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Testicular cavernous hemangioma associated with testicular torsion – case report and review of literature
We present a case of testicular torsion in a 15-year-old male patient who had a painful left testis for 6 days, no vomiting, no fever or dysuria.With clinical suspicion of an old testicular torsion the patient was examined by ultrasound which confirmed the clinical diagnosis.The patient underwent emergency surgical exploration. The left testis was found to be necrotic after a 360 degree testicular torsion and an orchiectomy was performed.ResultsThe postoperative course was uneventful. The patient was discharged on day 4 after surgery. Histology showed a complete ischemic infarction of the testicular parenchyma as part of a...
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Gallbladder to the left side of the falciform ligament in absence of Situs Inversus “Sinistroposition” – Case series of 2 patients with this anomaly who underwent mini-laparoscopic cholecystectomy
ConclusionTrue left-sided gallbladder can be an incidental finding; it is in part due to the fact that radiographic images do not typically detect this anomaly, therefore surgeons must be aware of this condition because it is associated with anomalies in the intrahepatic portal vein and biliary tree. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Adrenergic Cardiomyopathy and Cardiogenic Shock as Initial Presentation of Pheochromocytoma. A Case Report and Review of the Literature
Discussion and conclusionsAdrenergic cardiomyopathy is a rare entity with a variable clinical presentation. The onset as cardiogenic shock is exceptional. The differential diagnosis of a patient with cardiogenic shock of unknown origin should consider the presence of an underlying pheocromocytoma as well as other states of adrenergic hyperstimulation. The reversibility of the myocardial affection in pheocromocytoma-associated myocardiopathy is common after the tumor resection. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

A rare encounter of obstructed direct inguinal hernia of sliding variety
ConclusionDirect inguinal hernia of sliding variety getting obstructed is rare. Direct Sliding hernia on right side with ileum as content and bladder forming the wall is extremely rare. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Afferent loop obstruction with obstructive jaundice and ileus due to an enterolith after distal gastrectomy: A case report
CONCLUSIONWe report a rare case where an enterolith in a duodenal afferent loop after distal gastrectomy led to obstructive jaundice, and subsequently, caused ileus by its movement into the ileum. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Aneurysm sac enlargement 16 years after endovascular aortic aneurysm repair due to late type IIIb endoleak; a case report
ConclusionRelining using an ePTFE endograft may be considered an effective procedure for type IIIb endoleaks. Duplex ultrasound is useful for determining endoleak types. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

A CASE REPORT OF Bleeding From A Duodenal Varix: Rare CAUSE of Upper Gastrointestinal Bleeding
CONCLUSIONEctopic bleeding varix is a rare but important cause of UGIB. Diagnosis is challenging and management of this condition should take a multidisciplinary approach, involving experienced gastroenterologists, interventional radiologists and surgeons. Endoscopic ligation or sclerotherapy is the first-line of treatment. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Internal Hernia of the Small Intestine around Biliary Catheter after Living-donor Liver Transplantation: A Case Report
ConclusionWe report the first case of internal herniation of small bowel around biliary catheter early after LDLT. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Isolated primary subcutaneous hydatid in right hypochondrium region: Case Report
ConclusionPrimary subcutaneous hydatid cyst must always be considered in the differential diagnosis of silentgrowing mass in soft tissues or subcutaneous. History and physically associated with ultrasound and magnetic resonance imaging are sufficient to achieve a correct preoperative diagnosis (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Total Intracorporeal Robotic Renal Auto-Transplantation: a new minimally invasive approach to preserve the kidney after major ureteral injuries
ConclusionTo our knowledge, this is the first case successfully performed as a total robotic approach outside of North America. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

A post operative complication of foramen of Winslow hernia with left to right herniation of the small intestine: An extremely rare case report
CONCLUSIONTo our knowledge, here we report the first FWH of which the contents of the hernia are herniated from left to right, in literature. Whether the Foramen should be closed or not requires discussion, however, we conclude that the foramen should be closed when possible, acknowledging previous reports and the present case. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Reconstruction of Traumatic Lumbar Hernias: A Case Report
ConclusionUnderstanding the anatomy and mechanism of injury is the key to reconstructing traumatic lumber hernias. Although not required, mesh reinforcement has significantly reduced the recurrence of all hernias. This is the simplest and most effective way, in our opinion, to return the flank muscles to their native position while providing mesh reinforcement. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Surgical technique of laparoscopic hybrid approach for recurrent inguinal hernia: report a case
CONCLUSIONOur method is effective for difficult recurrent inguinal hernias. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Severe traumatic tricuspid valvular insufficiency detected 28 years after blunt chest trauma – A case report
CONCLUSIONValve repair is preferable to valve replacement, since patients are typically young and active. Better surgical results and avoidance of late complications can be obtained if the patient is operated when still asymptomatic. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Case Report of Combined Surgical Oncologic and Bariatric Procedures
ConclusionsWith short term follow-up, this patient’s outcome was favorable suggesting that surgical oncologic and bariatric procedures can be combined. Further, clinical investigations are indicated in this common clinical setting. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Percutaneous Screw Fixation of Fractured Neck of Femur in a Teenage girl with Osteogenesis Imperfecta. A Case Report
CONCLUSIONThis rare case illustrates the anticipated difficulties in managing neck of femur fracture in osteogenesis imperfect patients. It also emphasize on the importance of surgical fixation to control pain and allow for healing in anatomically functional position. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Colon liver metastasis complicated with tumor thrombus in the bile duct : A case report
CONCLUSION: Hepatectomy is a common therapeutic procedure for CRLM, but CRLM with BDTT might be associated with a bad prognosis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Pericardiectomy for a patient with constrictive pericarditis and multivessel coronary artery disease
CONCLUSIONPerforming only pericardiectomy under the support of IABP for a patient with constrictive pericarditis and multivessel coronary artery disease is safe and effective as long as the left ventricular ejection fraction is normal. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

Müllerian cyst in posterior mediastinum: A report of a case
CONCLUSIONIt is important to differentiate Müllerian cyst in the posterior mediastinal from other mediastinal cystic tumor for optimal decision-making in treatment. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 11, 2018 Category: Surgery Source Type: research

A post operative complication of foramen of Winslow hernia with left to right herniation of the small intestine: An extremely rare case report
CONCLUSIONTo our knowledge, here we report the first FWH of which the contents of the hernia are herniated from left to right, in literature. Whether the Foramen should be closed or not requires discussion, however, we conclude that the foramen should be closed when possible, acknowledging previous reports and the present case. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 8, 2018 Category: Surgery Source Type: research

Surgical technique of laparoscopic hybrid approach for recurrent inguinal hernia: report a case
CONCLUSIONOur method is effective for difficult recurrent inguinal hernias. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 8, 2018 Category: Surgery Source Type: research

Reconstruction of Traumatic Lumbar Hernias: A Case Report
ConclusionUnderstanding the anatomy and mechanism of injury is the key to reconstructing traumatic lumber hernias. Although not required, mesh reinforcement has significantly reduced the recurrence of all hernias. This is the simplest and most effective way, in our opinion, to return the flank muscles to their native position while providing mesh reinforcement. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 8, 2018 Category: Surgery Source Type: research

Retrograde Thyroidectomy for preservation of the External Branch of the Superior Laryngeal Nerve: A case series
ConclusionRetrograde thyroidectomy is recommended for large MNG where the EBSLN lies well below the upper pole; it minimizes risk to the nerve. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

A very rare case of renal cell carcinoma metastasis to spermatic cord and a condensed literature review
ConclusionOur case is of great interest, since such cases are very few in the international literature. Therefore the presentation of this case as well as its implications should be made to the global surgery community. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Aggressive ossifying fibroma of right ethmoidal sinus: A case report
ConclusionOssifying fibroma is a rare lesion found in the head and neck area and it is unusual to be found in the paranasal sinuses. Thus crucial attention to the clinical, radiographical and histopathological examination should be taken for more accurate diagnosis and thus appropriate management. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Unusual site for primary arterio-enteric fistula resulting in massive upper gastrointestinal bleeding – A case report on presentation and management
ConclusionWhile minimally invasive radiological techniques are invaluable in many areas and life-saving in countless emergency bleeds, cases like these should ideally not be treated by stenting alone. It would be wise to follow arterio-enteric fisula bleeds by definitive open surgical repair. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Cauda equina syndrome during pregnancy: A condition to consider
ConclusionWhen CES is suspected, after MRI study, emergency surgery is the only solution to improve the condition of these patients. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Surgically excising an intraoral schwannoma of the soft palate using a buccinator flap: A case report
ConclusionFollowing resection of an approximately 20 × 19-mm-sized schwannoma of the soft palate, which is a relatively rare site of occurrence for schwannomas, we performed reconstruction of the defect using a BMMF to prevent scar contracture. This was an effective method of reconstruction in consideration of velopharyngeal function. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Diagnosis and surgical therapy of the retroperitoneal ectopic pregnancy: A case report
ConclusionWe have presented a scarce case of REP. As the ectopic pregnancy could not be readily detected by laparotomy, unusual locations such as the retroperitoneum should be carefully examined. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Leiomyomatosis peritonealis disseminata: A case report of recurrent presentation and literature review
ConclusionsLPD is an uncommon but potentially severe disease. In our opinion larger studies are necessary to improve our diagnostic effectiveness and to define the best therapeutic strategy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Simultaneous peritoneal and retroperitoneal splenosis mimics metastatic right adrenal mass
ConclusionLarge right adrenal incidentalomas present with other abdominal, peritoneal masses could be splenosis in patient following post-traumatic splenectomy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Synchronous triple squamous cell carcinoma of the esophagus
ConclusionIn presence of squamous cell carcinoma of the esophagus, propedeutics should be carefully performed in order to verify the occurrence of other synchronous tumors in the esophagus and other organs, mainly head and neck and bronchial regions. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Bizarre calcaneal spur: A case report
ConclusionThis case confirms that the length of calcaneal spurs, even extremely long ones, is not associated with the pathology of plantar fasciitis and that surgical treatment is not necessary. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

A case report of an incidental Brenner tumor found after resection of a large ovarian mucinous neoplasm
ConclusionFurther investigation is required to determine whether associated Brenner tumors found during frozen section are more highly associated with malignancy and could therefore change intraoperative and overall decision making. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Gall stone ileus: Unfamiliar cause of bowel obstruction. Case report and literature review
Discussion and conclusionManagement of gallstone ileus is mainly surgical. Delay in detection and treatment of gallstone ileus may result in significant morbidity and mortality. The choice of surgical option is influenced by the preoperative medical status of the patient. A literature review generally supports the employment of enterolithotomy in high-risk patients and reserving cholecystectomy and resection of the fistula for less comorbid patients with feasible anatomy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Sigmoid gallstone ileus: A case report and literature review in Japan
Discussion and conclusionThe surgical treatment of gallstone ileus remains controversial. For postoperative infection control, one-stage operation can be considered for patients with gallstone ileus associated with cholecystocolonic fistula. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

A case of De Garengeot’s hernia with acute appendicitis and literature review
ConclusionAcute appendicitis within femoral hernia should be included in differential diagnosis of patients presenting with clinical signs of an incarcerated femoral hernia and prompt surgical treatment is essential in order to avoid severe complications. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Laparoscopic herniorrhaphy of bilateral inguinal herniae and an incidental Spigelian hernia with intra corporeal suturing of the Spigelian hernia neck: A case report
ConclusionSpigelian herniae are rare with non specific symptoms. We present the first case report of a laparoscopic repair of bilateral inguinal herniae and a left sided Spigelian hernia with intra-corporeal suturing of the Spigelian hernia neck. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Bilateral pulmonary embolism after arthroscopic anterior cruciate ligament reconstruction: A case report
ConclusionAlthough anterior cruciate ligament reconstruction is a common and safe procedure performed on a daily basis, unexpected complications may occur. One of these is venous thromboembolism which may be fatal. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Extraskeletal chondroma walling the temporomandibular joint: Report of a rare case and review of the literature
This report describes a rare case of extraskeletal chondroma surrounding the temporomandibular joint of a 55-year-old female patient.Discussion and conclusionDiagnosis of extraskeletal chondroma is challenging since tissue swelling, diagnostic imaging and even histopathological features may be misleading for other joint or gland pathologies. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

The first case of osteoma of the mandibular notch located both medially and laterally and treated with a transoral endoscopy assisted approach. A case report
ConclusionAmong the cases of osteoma in the literature, only six originated in the mandibular notch, but this is the only that was both medially and laterally located. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Rare case of sacrococcygeal tuberculosis mimicking as an anal fistula
ConclusionThis case highlights the importance of considering tuberculosis as a diagnosis if the unusual sites are involved. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research

Massive intraperitoneal free air induced by pneumothorax and pneumomediastinum
ConclusionWe herein described a case of PP that occurred after mechanical ventilation in a patient with multiple injuries, but which did not originate from perforation of the gastrointestinal tract. It is most likely that the PP had an intrathoracic cause. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 6, 2018 Category: Surgery Source Type: research