Misadventure by foley urethral catheter resulting in ureteric obstruction
Background: A 67 year old lady presented to the hospital emergency department with a history of right sided abdominal pain, haematuria, chills and urine bypassing the catheter three days after a catheter change in the community. She had a raised white cell count (16.5 x109/L) and CRP (97mg/L). A CT revealed that the urinary catheter with inflated balloon was within the distal right ureter causing obstruction and moderate hydronephrosis without ureteric rupture. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Saad, U. Mufti Source Type: research
Double trouble: Acute appendicitis in a case of duplex appendix
In June 2017, a gentleman presented with right iliac fossa pain to the surgical admissions unit at New Cross Hospital in Wolverhampton, UK. What began as a seemingly usual admission of acute appendicitis became an intriguing case as time progressed. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: H. Azeem, A. Rai, D. Singh-Ranger Source Type: research
Periorbital necrotising fasciitis in a patient with undiagnosed hepatitis C and liver failure
We report the case of a periorbital necrotising fasciitis infection of the tissue surrounding orbicularis, spontaneously occurring, with underlying undiagnosed Hepatitis C infection in an assumed well 56-year-old man. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: H. Lewis, N.C. Monteoliva, S. Al-Himdani, C. Stone Source Type: research
"Six-Pack Ileus" - Profound paralytic ileus after strenuous abdominal resistance exercise
Paralytic ileus is a familiar and common diagnosis; often diagnosed postoperatively or seen in the emergency department. The symptoms that indicate the diagnosis, namely constipation, bloating, anorexia, nausea and vomiting, are prevalent and can be vague. However, the symptoms may represent a more serious pathology and can warrant invasive investigations or those that involve radiation exposure. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: R. Davies, K. Taylor, L. Davies Source Type: research
A case of paratesticular mesothelioma causing acute abdomen
Malignant diseases from mesothelial tissue have high morbidity and mortality rates and significantly low prevalence. The rate is as it follows: pleura, peritoneum, pericardium, tunica vaginalis testis, as the last two are incredibly uncommon (less than 5%). Paratesticular mesothelioma, being extremely rare, is not typically considered as a cause for acute abdomen. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: K. Nedyalkov, M. Yanchev, I. Presolski, D. Nguen, T. Tsekova, I. Dimitrova Source Type: research
Paper shredder machines: A danger to little fingers. A case of triple finger amputation in a 2-year-old boy
Aim: to raise awareness of this injury, discuss the current literature and discuss strategies for prevention of this severe paediatric injury. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: L. Clifton, C. Langley, I. McNab Source Type: research
Apico-aortic bypass for a failed mitroflow aortic valve in a high-risk patient: Overcoming the challenge of conduit design
We describe a case of severe symptomatic stenosis of a bioprosthetic aortic valve in a patient with a narrow aortic root, ostial encroachment and patent coronary grafts. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: K. Wallwork, T. Rajab, M. Huang, S. Tsui Source Type: research
Late and complete gastric band erosion - Should we have a lower index of suspicion?
We present the case of a 50 year old female who was found to have complete gastric band erosion nearly a decade after insertion. CT Scan and endoscopy revealed a free intra-gastric band causing partial gastric outlet obstruction. Her only symptom was vague upper abdominal pain which was worsened post-prandially. Band erosion is a recognised complication of gastric banding with rates of up to 7% but the mean presentation is at 22 months following insertion. Serious acute complications of erosion have been documented including bowel obstruction, perforation, and major haemorrhage. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: G. Naidoo, T. Richardson, S. Bhattacharya Source Type: research
A case of paraneoplastic SIADH secondary to rectal small cell carcinoma – Not so rare?
A 65M presented to our colorectal fast-track clinic with symptoms of increased frequency, bleeding, buttock pain and a mass on DRE. He had a background of previously excised basal cell carcinoma but was otherwise fit and well. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: W. Cullen, J. Randall Source Type: research
Bilateral obturator herniae - A laparoscopic approach
Aim: A novel presentation and treatment of bilateral obturator herniae (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: B. Mahendran, R. Kochupapy Source Type: research
Case report describing appendicular diverticulosis presenting as an acute appendicitis
Introduction: Appendicular diverticulosis (Diverticulosis of the appendix) is an uncommon clinical condition that although can cause chronic abdominal pain, it usually presents with right iliac fossa acute pain. Distinguishing it from appendicitis is important as DA carries higher risk of perforation and may be associated with an underlying malignancy. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: E. Mohammed, F. Hatim Source Type: research
A tricky coin-undrum: Extracting an airway foreign body in 1843
Aim: To reflect on the approach used to extract a half-sovereign coin from the bronchus of an eminent engineer in 1843. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: C. Salice, H. Carpenter, G. Mclachlan Source Type: research
Case report: Acute gastric necrosis; A rare complication of small bowel obstruction
We present a case of gastric necrosis secondary to small bowel obstruction. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: N. Assaf, B. Andrews, J. Rait Source Type: research
Cloacal rupture: An obstetricians nightmare - Words of wisdom
Aim: Tears of the recto-vaginal septum with intact anal sphincter are rare, presumably due to the sphincter having the narrowest diameter of the birth canal. We are presenting a rare case of a patient known with ulcerative colitis(UC),with a fourth degree tear of the recto-vaginal septum with intact anal sphincter after delivery. A defunctioning colostomy and recto-vaginal repair was performed. Learning points will be highlighted in this article. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: T. Young, F. Hatem, S. Narasimhaiah, V. Vijay Source Type: research
Appendiceal adenocarcinoma - Two unique cases of adenocarcinoma ex-goblet cell carcinoid
Neoplasms of the appendix are rare; the incidence is ∼1% of all appendicectomy specimens and 0.5% of intestinal neoplasms(1). Carcinoid tumours are the most common, comprising>50% of appendiceal neoplasms. Five year survival is 73-84%(2). (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: M. Hennessy, F. Gardeil, I. Ivanovski Source Type: research
