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 - August 24, 2017 Category: Surgery Source Type: research

A rare case report of patent vitellointestinal duct causing bowel obstruction in an adult
CONCLUSION The patent vitellointestinal duct is an uncommon entity in adults and moreover this disorder leading to intestinal obstruction is very rare. Surgeons should be aware of this infrequent cause of small bowel obstruction to allow for early diagnosis and to facilitate better patient outcomes. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 24, 2017 Category: Surgery Source Type: research

Spontaneous regression of anterior mediastinal seminoma with normalization of β-human chorionic gonadotropin levels
Conclusion Anterior mediastinal seminoma showing SR induced by spontaneous apoptosis of tumor cells may have good sensitivity to chemotherapy, and a good clinical outcome may be achieved in these patients. This case also highlights that VATS is the most effective solution for definite diagnosis of indeterminate anterior mediastinal masses. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 24, 2017 Category: Surgery Source Type: research

Vascularized fibular graft as asurgical option for osteosarcoma of distal humerus: A Case Report
Conclusion Free vascularized fibular graft with interpositional elbow arthroplasty is a good option for management of bone sarcoma of distal humerus. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 23, 2017 Category: Surgery Source Type: research

Wound dehiscence after total knee arthroplasty
Conclusion Postoperative care after knee replacement should be more considered in diabetic patients. Finally the patient was successfully treated with irrigation and debridement (I&D) and polyethylene insert exchange. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 23, 2017 Category: Surgery Source Type: research

Postoperative Disseminated Intravascular Coagulation in a Pregnant Patient with Blue Rubber Bleb Nevus Syndrome Presenting with Acute Intestinal Obstruction: Case report and Literature Review
Conclusion this rare presentation of acute intestinal intussusception in a patient with Blue Rubber Bleb Nevus Syndrome was further complicated with postoperative coagulation disorder. Prompt surgical evaluation is essential especially when complications are suspected. Operative treatment might be necessary in the emergent setting. Close monitoring of infectious and coagulation parameters is essential in the postoperative period, and aggressive treatment should be timely initiated when disseminated intravascular coagulation is suspected. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 23, 2017 Category: Surgery Source Type: research

A Large Benign Phyllodes Tumour of the Breast: A Case Report and Literature review
Conclusion Successful management of phyllodes tumour involves obtaining a pre-operative diagnosis via a core biopsy when possible and planning for adequate margins. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 23, 2017 Category: Surgery Source Type: research

Acute diffuse peritonitis due to spontaneous rupture of a primary gastrointestinal stromal tumor of the jejunum: a case report
Conclusions This report describes a patient with acute diffuse peritonitis due to spontaneous rupture of a primary GIST of the jejunum. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 23, 2017 Category: Surgery Source Type: research

Spontaneous non-traumatic mediastinal hematoma associated with oral anticoagulant therapy: a case report and literature review
Conclusion To facilitate prompt and proper management, clinicians should be aware of this condition as a potential complication of anticoagulant therapy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 23, 2017 Category: Surgery Source Type: research

Antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: a case report
CONCLUSION Jejunogastric intussusception and bile duct stones are rare after distal gastrectomy, physicians should be alerted to the possibility of these complications. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 20, 2017 Category: Surgery Source Type: research

Biopsy-proven Progressive Fatty Liver Disease Nine Months Post Mini-Gastric Bypass Surgery: A Case Study
CONCLUSION Future studies comparing the effect of various bariatric procedures, including MGB, are necessary to help clinicians decide the optimal procedure for patients with this liver condition. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 18, 2017 Category: Surgery Source Type: research

Mesh erosion to urinary bladder causing fistulation to abdominal wall resulting in necrotizing fasciitis: A case report of late complication of incisional hernia
Conclusion This case was the first reported incident with bladder erosion by dual mesh causing vesico-cutaneous fistula complicated with necrotizing fasciitis. Although dual mesh theoretically reduces the risk of mesh erosion, mesh erosion to viscera can still happen and cause severe complication. Its risk should be balanced and discussed with patient with full consent. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 18, 2017 Category: Surgery Source Type: research

Long- term survival of a patient with advanced gastric cancer with paraaortic lymph node metastasis who attained pathological complete response after S-1/CDDP chemotherapy: A case report
Conclusion We report herein a rare case of gastric cancer with PAN metastases who achieved a 5-year survival after S-1/CDDP chemotherapy and surgery. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 18, 2017 Category: Surgery Source Type: research

Surgical management of a De Garengeot ’s hernia using a biologic mesh: A case report and review of literature
Conclusion The De Garengeot hernia is an uncommon differential diagnosis for patients presenting with clinical signs of strangled femoral hernia. Although hernia repairs with a synthetic mesh in the presence of appendicitis have been reported, we describe a case of femoral hernia repair using a biologic mesh, in a patient with a De Garengot hernia. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 18, 2017 Category: Surgery Source Type: research

Unstable thoracic spine fracture with aortic encroachment: a potentially fatal association and a suggested treatment. case report.
Discussion/conclusion A multi-specialists teamwork approach is mandatory. Vascular lesion is priority, followed by vertebral surgery. As to the treatment options, we suggest a “best but still safest” philosophy: endovascular repair and posterior spinal instrumentation should be considered first in the acute stage. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 18, 2017 Category: Surgery Source Type: research

Breast metastasis nine years after nephrectomy for renal cell carcinoma: a case report
Conclusion It is important that histological diagnosis be determined by CNB and by other methods if the patient has a history of malignancy, and minimally invasive therapy should be performed in accordance with the prognosis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 18, 2017 Category: Surgery Source Type: research

Surgical treatment for the excluded bile leakage from Spiegel lobe after right hemihepatectomy: a case report
Conclusion We consider that surgical treatment for postoperative excluded bile leakage is both a quick and reliable procedure in patients with acceptable liver function and anatomical subject. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 18, 2017 Category: Surgery Source Type: research

Right hepatectomy after spontaneous hepatic rupture in a patient with preeclampsia: A case report
We present a case of a 31 year old female with 28 weeks of gestation that presented with acute abdominal pain, elevated blood pressure and altered liver enzymes an abdominal ultrasound that showed a subcapsular hematoma occupying the whole right lobe and free abdominal fluid, she required emergent laparotomy, C-section, hepatic packing, followed by angioembolization and finally right hepatectomy. Discussion and Conslusion Spontaneous hepatic rupture due to preeclampsia or HELLP syndrome is a medical emergency, it requires a prompt and decisive treatment. Multiple treatment modalities are available, from simple hepat...
Source: International Journal of Surgery Case Reports - August 18, 2017 Category: Surgery Source Type: research

Retroperitoneal paraganglioma —Is pre operative embolization useful?
Conclusion We can conclude that the embolization of abdominal PG is not free of risks and that it has not been demonstrated that it significantly reduces the peri-operative bleeding or the surgical time. Probably, the embolization should be reserved for intensively hypervascularized and larger PGs. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 17, 2017 Category: Surgery Source Type: research

Osteochondrosis of the medial malleolar epiphysis: a case report and review of the literature
CONCLUSION Medial malleolar osteochondrosis is a rare but well recognized condition. Only seven cases are described in literature. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 17, 2017 Category: Surgery Source Type: research

Perianal pseudolymphoma: a case report and review of the literature
Conclusion The aim of this case report is to highlight the existence of such a rare condition that can imitate an acute surgical presentation and its successful conservative management. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 17, 2017 Category: Surgery Source Type: research

Use of the liver maximum function capacity test (LiMAx) for the management of liver resection in cirrhosis – A case of hypopharyngeal cancer liver metastasis
Conclusion The LiMAx-test enables determination of liver function at a so far unavailable level (metabolism via cytochrome P450 1A2) and hence might provide crucial additional diagnostic information to allow for safe liver resection even in cirrhotic patients. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 11, 2017 Category: Surgery Source Type: research

Pylephlebitis and Crohn ’s disease: A rare case of septic shock
Conclusion This case highlights the importance of promptly considerate and treat mesenteric pylephlebitis in presence of a septic shock in a Crohn’s disease patient who is not showing clinical signs of peritonitis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 11, 2017 Category: Surgery Source Type: research

Popliteal pseudoaneurysm and arteriovenous fistula after Arthroscopic anterior and Posterior Cruciate Ligament Reconstruction: a case report
CONCLUSIONS In order to minimize the risk of vascular complications in ACL and PCL reconstructive surgery, we advise to look for less traumatizing instruments and to limit the amount of riskful actions, precise attention should be paid in the establishment of the tibial tunnels. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 11, 2017 Category: Surgery Source Type: research

Closed reduction and percutaneous “periarticular” single k-wire fixation for displaced unstable transverse fractures of the proximal phalanx in elderly osteoporotic women. a case series of five patients
Conclusion We demonstrate a favorable outcome following closed reduction and percutaneous “periarticular” single K-wire fixation for displaced unstable transverse fractures of the proximal phalanx in elderly osteoporotic women. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 11, 2017 Category: Surgery Source Type: research

Angiolymphoid hyperplasia with eosinophilia involving the common digital artery of the hand: A case report and classification of upper limb lesions
Conclusion A rare case of ALHE of the hand is presented. The literature is reviewed and two classification systems for upper limb lesions are offered and their implications are discussed. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 11, 2017 Category: Surgery Source Type: research

Transanal Total Mesorectal Excision as a Surgical Procedure for Diffuse Cavernous Hemangioma of the Rectum: A CASE REPOERT
Conclusions TaTME appears to be a safe and feasible procedure for patients with DCHR in experienced hands. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 11, 2017 Category: Surgery Source Type: research

A Case of Splenic Hamartoma Associated with Thrombocytopenia
Conclusions Surgery may also improve symptoms of hypersplenism, including thrombocytopenia. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 11, 2017 Category: Surgery Source Type: research

Aortic pseudoaneurysm after endarterectomy for small aorta syndrome
CONCLUSION Endovascular treatment for aortic PA should be always considered the treatment of choice but the open surgical option was preferred in this particular case because of the small diameters of the iliac accesses, making them unsuitable for an endovascular approach. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 11, 2017 Category: Surgery Source Type: research

Chylopericardium following thoracoscopic resection of a mediastinal cyst: a case report
Conclusion The most important points highlighted by this rare case of chylopericardium secondary to thoracic duct cyst resection are: 1) pedicles should be ligated in cyst resections, regardless of location; 2) careful assessment in the initial surgery may help identify the point of leakage; 3) low-fat diet is the first choice in the initial management of postoperative chylopericardium, but surgical repair may be considered in cases with no response after>2 weeks of conservative treatment. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 11, 2017 Category: Surgery Source Type: research

Agenesis of gall bladder in laparoscopic cholecystectomy —A case report
Conclusion Agenesis of gallbladder should be kept in mind whenever the gall bladder was improperly visualized in routine imaging methods. Ultrasonography operated dependent we must not depend on single one or even multiple done by the same person. Avoid a needless surgical exploration, which might be risky. Non-visualized gall bladder during laparoscopic cholecystectomy is challenging should not convert to open unless sure that the gall bladder was present. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 10, 2017 Category: Surgery Source Type: research

A novel intestinal rotation method for digestive reconstruction after combined pancreaticoduodenectomy and extended right hemicolectomy: A case report and surgical technique
CONCLUSION This is the first detailed description of an intestinal rotation method for digestive reconstruction after combined PD and extended RH. The intestinal rotation method can be an alternative and helpful technical option for digestive reconstruction in patients with combined PD and RH. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 9, 2017 Category: Surgery Source Type: research

On-top and side-to-side plasties for thumb polydactyly
Conclusion “On-top” and “side-to-side” plasties in the management of specific cases of thumb polydactyly obtain excellent functional results with excellent or acceptable cosmetic outcome. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 9, 2017 Category: Surgery Source Type: research

Laparoscopically assisted treatment of entero-atmospheric fistula following abdominal wall repair of complex incisional hernia: case report
Conclusion According to our experience the success of the treatment of EAF may be improved adopting a multidisciplinary approach and well-planned surgery in referral centers. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 9, 2017 Category: Surgery Source Type: research

Traumatic common hepatic artery injury causing isolated right hepatic ischemia due to a left accessory artery. A Case report
CONCLUSION Parenchymal liver survival is mostly independent from flow within the common hepatic artery. Acute and chronic liver parenchyma changes following interruption of hepatic artery flow can still occur. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 9, 2017 Category: Surgery Source Type: research

Lingular segment torsion following a left upper division segmentectomy
Conclusion Although lobectomy is the most common cause of lung torsion, physicians should check for lung segment torsion when performing segmentectomy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 5, 2017 Category: Surgery Source Type: research

A Long-term Recurrence-free Survival of a patient with the mixed adeno-neuroendocrine bile duct carcinoma: A case report and review of the literature
Conclusion Curative resection is essential to achieve long-term survival in patients with bile duct MANEC, even if these patients have lymph node metastasis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 5, 2017 Category: Surgery Source Type: research

Colonic mesenteric lymphatic malformation presenting as an intraabdominal abscess in an infant: A case report
Conclusion This atypical presentation of an uncommon entity was instructive in several ways, particularly illustrating the diagnostic pitfalls that can be introduced by superinfection. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 5, 2017 Category: Surgery Source Type: research

Enterohepatic Fistula in a Crohn ’s Disease Patient: A Case Report
CONCLUSION Not all enteroenteric fistulas are apparent preoperatively. When discovered, laparoscopic enterohepatic fistula takedown is feasible for this rare disease process manifestation. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 5, 2017 Category: Surgery Source Type: research

Retroperitoneal Paraganglioma − Is Pre Operative Embolization Useful?
CONCLUSION We can conclude that the embolization of abdominal PG is not free of risks and that it has not been demonstrated that it significantly reduces the peri-operative bleeding or the surgical time. Probably, the embolization should be reserved for intensively hypervascularized and larger PGs. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 5, 2017 Category: Surgery Source Type: research

A staged, endovascular approach to treat a ruptured external iliac artery mycotic pseudoaneurysm in an intravenous drug user: a case report
Conclusion We have shown a successful outcome in managing a challenging patient using endovascular techniques as a bridge to definitive arterial reconstruction. This circumvents traditional approaches including primary arterial ligation, which carry a risk of limb-loss. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 5, 2017 Category: Surgery Source Type: research

Peri-prosthetic humeral non-union: where biology meets bio-mechanic. A case report
Conclusion We assume that an aggressive revision surgery done with bone autograft implant and a bone healing therapy administering teriparatide off-label can reduce the convalescence in non-unions and can improve prognosis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 5, 2017 Category: Surgery Source Type: research

Anaesthetic and surgical management of airway penetrating injuries in children in resource-poor setting: case reports
CONCLUSION Penetrating airway injuries in children pose serious management challenges. Careful anticipation and quick intervention are helpful. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 4, 2017 Category: Surgery Source Type: research

Agenesis of gall bladder in laparoscopic cholecystectomy −A case report
CONCLUSION Agenesis of gallbladder should be kept in mind whenever the gall bladder was improperly visualized in routine imaging methods Ultrasonography operated dependent we must not depend on single one or even multiple done by the same person. Avoid a needless surgical exploration, which might be risky. Non-visualized gall bladder during laparoscopic cholecystectomy is challenging should not convert to open unless sure that the gall bladder was present. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 4, 2017 Category: Surgery Source Type: research

Combined intra- and extraperitoneal urinary bladder rupture – a rare seat-belt injury: A case report
Conclusion Despite the rarity of traumatic urinary bladder injuries, and especially in the absence of an underlying fracture, physicians should maintain a high level of suspicion for urologic injuries in the presence of nonspecific lower abdominal pain, gross haematuria and the inability to urinate. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - August 2, 2017 Category: Surgery Source Type: research

Giant fibro epithelial polyp in a young girl: A rare case report
Conclusion Giant FEP is a benign lesion, sometimes it may be misdiagnosed as malignant lesion because of its larger size and occurrence in early age. Hence excisional biopsy is important to confirm the diagnosis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 29, 2017 Category: Surgery Source Type: research

Fatal liver gas gangrene after biliary surgery
Discussion Liver gas gangrene is rare and has a high mortality rate. This case seems to have arisen from an immunosuppressive state after major surgery with biliary reconstruction for bile duct cancer and subsequent gastrointestinal bleeding, leading to gas gangrene of the liver. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 28, 2017 Category: Surgery Source Type: research

Papillotubular carcinoma with an invasive micropapillary carcinoma component of the breast, characterized by a rapid increase in size due to intra-tumoral hemorrhage: a case report
CONCLUSION IMPC is a rare, clinically aggressive variant of invasive ductal carcinoma. Owing to its aggressive clinical behaviors, surgeons should readily recognize the morphology of IMPC. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 26, 2017 Category: Surgery Source Type: research

Laparoscopic Treatment in Type IV Giant Paraesophagic Hernia and Intestinal Occlusion a Case Report
Conclusion In elective patients Laparoscopy is superior than abdominal approach. Randomized trials comparing laparoscopic versus open approach are needed to conclude that laparoscopic approach is superior to open approach, in potentially GPEH complicated patients. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 26, 2017 Category: Surgery Source Type: research

Case report of successful partial splenectomy for a splenic abscess in a paediatric patient
CONCLUSION Splenic abscess are rare conditions seen in paediatric practice with high mortality and partial splenectomy can be a useful spleen-preserving technique in treating this condition. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - July 26, 2017 Category: Surgery Source Type: research