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

A case report of successful endovascular repair of a giant 15 cm diameter asymptomatic thoracic aortic aneurysm
ConclusionEven though there is limited documented experience, use of TEVAR seems a safe and promising option in the treatment of giant thoracic aneurysms as presented in this case. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Can tibial tantalum cones eventually eliminate the adjuvant use of metallic augments for AORI type 2B/3 metaphyseal defects??-A novel surgical technique and Case series
ConclusionThe “Tibial base plate-cone without augments(BCCA)”type of a construct may offer a valid long term advantage over the Tibial base plate-Augment-Cone combination in massive tibial bone defects.Simply building up the tantalum cone to the native joint line position by increasing cone height can exclude use of augments or wedges. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Axillary Schwannoma, Preoperative Diagnosis on a Tru-cut Biopsy: Case report and Literature Review
ConclusionWith such non-specific presentation, axillary Schwannoma may be easily missed and mismanaged. A Tru-cut biopsy may provide great help in expert hands, aiding operative planning; likewise in the case we are presenting. Furthermore, utilizing an intraoperative nerve stimulator will facilitate nerve preservation. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Superior Mesenteric Vein Injury in Penetrating Abdominal Trauma: A Case Report
ConclusionThe principle of damage control surgery in trauma is an effective strategy to stabilize the patient and rule out other injuries which might not have been discernible initially. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Trans-anal minimally invasive surgery: A new technique to avoid peritoneal entry
ConclusionFor rectal lesions suspected to be above the peritoneal reflection, a stapled resection through a TAMIS port could prove be a valuable addition to the standard excisional approach to TAMIS. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

A Rare Case of Paraganglioma of the Cystic Duct
CONCLUSIONIt is important to realize that biliary system paragangliomas, although rare, may occur. As they have an association with multiple endocrine neoplasia syndrome, a thorough endocrine investigation should be made. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - October 5, 2018 Category: Surgery Source Type: research

Adductor Magnus muscle primary hydatid cyst rare unusual site: A case report
ConclusionHydatid disease should be included in the differential diagnosis of muscular masses, regardless of its location, especially in endemic areas. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 22, 2018 Category: Surgery Source Type: research

The Impact of a Rapid Imaging Protocol in Acute Cholecystitis-Prospective Cohort Study
In this study we assess the impact of a “rapid imaging protocol” (RIP) on outcomes in patients with suspected acute cholecystitis (AC).MethodsFrom January 2017 to January 2018, a prospective cohort study was implemented using a RIP with hepatoscintigraphy (HIDA) or CT scan (first available, goal within 4 hours) in patients (n = 52) presenting with highly suspected AC and a clinical feature score of ≥ 1. For the latter, the following presenting features were scored as follows: 1 point for WBC count ≥ 10,000 (109/L), 1.5 points for glucose ≥140 (mg/dl), and/or 1 point for age ≥ 50...
Source: International Journal of Surgery Case Reports - September 22, 2018 Category: Surgery Source Type: research

Huge Thyroglossal Duct Cyst in Elderly Patient: Case Report
ConclusionDiagnosis of TGDC shouldn’t be excluded even in extremes of age, or extreme size, and can be managed according to standard lines of management (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 22, 2018 Category: Surgery Source Type: research

Massive systemic arterial air embolism caused by an air shunt after blunt chest trauma: a case report
ConclusionSAAE is caused by an air shunt following trauma. Clinical signs and operative findings summarized in this case should aid in the recognition of possible SAAE. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 22, 2018 Category: Surgery Source Type: research

Intestinal malrotation in an adult patient with other congenital malformations: A case report
CONCLUSIONIntestinal malrotation is uncommon amongst adults but its complications can be devastating if not recognised early. Ladd’s procedure either laparoscopically or via laparotomy can provide good resolution of symptoms if performed astutely. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 19, 2018 Category: Surgery Source Type: research

Masquelet technique for the treatment of acute osteomyelitis of the PIP joint caused by clenched-fist human bite injury: A case report
CONCLUSIONThe angled joint resulting from this technique created a relatively normal permanently bent PIP joint. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 18, 2018 Category: Surgery Source Type: research

Locking Plate Osteosynthesis for a Femoral Fracture and Subsequent Nonunion in a Patient with Osteopetrosis
CONCLUSIONDouble plating with locking plates may be an effective treatment option for femoral fractures in patients with osteopetrosis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 18, 2018 Category: Surgery Source Type: research

Use of Indocyanine Green Fluorescence Imaging to Determine the Area of Bowel Resection in Non-Occlusive Mesenteric Ischemia: A Case Report
ConclusionIntraoperative ICG fluorescence imaging makes it possible to detect necrotic intestine that cannot be found with the naked eye. By using this method, planned reoperation to find any newly developed necrotic intestine might be unnecessary. Intraoperative ICG fluorescence imaging is useful for defining the area of ischemic bowel in a patient with NOMI. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 18, 2018 Category: Surgery Source Type: research

Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: a Case Report
ConclusionsUlnar head arthroplasty seems to be a very good option in the treatment of severe DRUJ arthrosis. It significantly improves pain control while maintains or even improves range of motion. Posterior interosseous nerve neurectomy is a simple technique and highly effective. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 18, 2018 Category: Surgery Source Type: research

First case of laparoscopic partial splenectomy in a child with hamartoma: case report and review of the literature
ConclusionPartial laparoscopic splenectomy can be considered a safe, effective and reproducible alternative in patients suffering from benign solid diseases, safeguarding the hematological functions of the organ itself in pediatric age. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 18, 2018 Category: Surgery Source Type: research

The Pedigree of Baraitric Surgery: A Case Series of Revisional Surgery Post Laparoscopic Sleeve Gastrectomy in 3 Sisters
ConclusionOur study was also able demonstrate how effective revisional surgery is, when genetics are accounted for, with our results showing RYGB as a revisional procedure being superior to the other options. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 18, 2018 Category: Surgery Source Type: research

Non-circumferential membranous resection of the trachea for paraganglioma: a case report
ConclusionTracheal membranous tumors can be managed without circumferential resection or direct anastomosis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 18, 2018 Category: Surgery Source Type: research

Hepatic myomatous angiomyolipoma diagnosed preoperatively 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 - September 18, 2018 Category: Surgery Source Type: research

Brown Tumor of the Cervical Spine in a patient with secondary hyperparathyroidism: A case Report
ConclusionThe importance of the prompt diagnosis of the brown tumor is to establish a multidisciplinary management to prevent progression, neurologic complications and sequelae despite its benign behavior. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 18, 2018 Category: Surgery Source Type: research

Combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer: A Case series
ConclusionCombined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer is suitable for advanced cancer cases requiring multidisciplinary treatment. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 18, 2018 Category: Surgery Source Type: research

Delayed laparoscopic repair of a traumatic flank hernia: a case report and review of the literature
CONCLUSIONThere is growing evidence supporting a non-operative management strategy in patients with a traumatic abdominal wall hernia who do not have a clear indication for abdominal surgery. These patients may be safely observed with delayed laparoscopic repair using synthetic mesh reserved for traumatic abdominal wall hernias that become symptomatic. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 17, 2018 Category: Surgery Source Type: research

Cutaneous extra nodal lymphoma relapse: A case report and review of literature
ConclusionDisease relapse was not present in the primary involvement site. Furthermore, there was a cutaneous relapse where there was no primary cutaneous disease. Treatment involved systemic therapy for this patient given the nodal involvement found on the PET scan. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 16, 2018 Category: Surgery Source Type: research

Case: Authentic Multimodal Therapy and Liver Resection for an Initially Unresectable Intrahepatic Cholangiocarcinoma
ConclusionMultimodal chemotherapy and hepatic curative resection on locally advanced ICC are feasible treatment approaches for initially unresectable ICC. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 16, 2018 Category: Surgery Source Type: research

Laparoscopic retrieval of a sewing needle from the liver: A case report
CONCLUSIONLaparoscopy is an effective surgical method for removal of intrahepatic foreign bodies in some cases. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 16, 2018 Category: Surgery Source Type: research

A case report of a rare, spontaneous external jugular vein aneurysm
CONCLUSIONSDespite their rarity, spontaneous EJV aneurisms should be included in the differential of the elderly hypertensive patient who is presenting with a painless mass of the lateral neck that has cystic appearance and ultrasound findings of doppler flow. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 14, 2018 Category: Surgery Source Type: research

Debridement arthroplasty of a rare case of elbow stiffness. A case report and literature review
ConclusionDebridement arthroplasty is safe and effective in treating elbow stiffness associated with Melorheostosis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 14, 2018 Category: Surgery Source Type: research

Giant perianal Seborrheic keratosis: A case report
ConclusionGiant perianal seborrheic keratoses is a very rare presentation, that may resemble many of the skin disease of that area and should be managed with excision and biopsy to confirm the diagnosis. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 13, 2018 Category: Surgery Source Type: research

A rare case of brooke-spiegler syndrome: integrated surgical treatment of multiple giant eccrine spiradenomas of the head and neck in a young girl
CONCLUSIONOur integrated surgical approach showed excellent aesthetic and functional results with benefits to the patient’s life and complete oncological excision. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 13, 2018 Category: Surgery Source Type: research

Conversion to thoracotomy during VATS segmentectomy for treatment of symptomatic endobronchial hamartoma
ConclusionWhen a benign tumor of the lung, as endobronchial hamartoma, is located in a segmental bronchus and presents extrabronchial spread, we recommend to perform a parenchymal-sparing surgical resection. In this case surgical team, however, should keep in mind, due to difficult individual dissection of the segmental bronchovascular elements, the possibility of conversion from VATS (video-assisted thoracic surgery) to open thoracotomy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 13, 2018 Category: Surgery Source Type: research

Case series of recurrent inguinal hernia after primary TREPP repair: re-TREPP seems feasible and safe
ConclusionThese first experiences with re-TREPP for secondary inguinal hernia repair are encouraging for the aspects of feasibility and safety, particularly in experienced surgical hands. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 12, 2018 Category: Surgery Source Type: research

The use of splenic artery embolization to maintain adequate hepatic arterial inflow after hepatic artery thrombosis in a split liver transplant recipient
ConclusionSplenic artery steal syndrome is a rare complication that can occur after a liver transplant. Experience with this phenomenon is limited in split liver transplantation.We demonstrated successful early management of splenic artery steal syndrome with coil embolization in a split liver transplant preventing further morbidity and graft loss. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - September 11, 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 - September 11, 2018 Category: Surgery Source Type: research