Mechanical small bowel obstruction due to acute appendicitis: A case report and literature review
Case Report: A 58-year-old female presented with a 4-day history of lower abdominal pain, loss of appetite and diarrhoea. Her past medical history included a partial salpingectomy, total abdominal hysterectomy and bilateral salpingo-oophorectomy and abdominal sacrocolpoplexy. On examination, she was tender across the lower abdomen, with voluntary guarding. Her blood results showed elevated inflammatory markers. Being treated conservatively for presumed acute diverticulitis, she progressed to develop vomiting, and abdominal computed tomography (CT) showed findings consistent with small bowel obstruction with a transition po...
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: R. Mashar, A. Kamali-Hal, J. Heath, M. Ransome Source Type: research
What the mesh?
Hernia repairs are performed either through open surgery or increasingly through various laparoscopic techniques. Laparoscopic repairs are advantageous and reduce post-operative pain, recurrence, and allow earlier resumption of daily activities. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: K. Narang, A. Wadood, M. Budhoo, S. Zaman Source Type: research
Rare manifestation of acute sigmoid colon obstruction secondary to endomitroid adenocardinoma arising from endometriosis
Introduction: Malignant transformation of intestinal endometriosis occurring in the extraovarian sites is extremely rare. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: G. Hui Chin Lim, J. Hui Yee Lim, J. Hui Yee Lim, B. Chang Wei Lim, G. McArdle Source Type: research
Adult jejunal intussusception : A rare case of intestinal obstruction in adults
Intussusception is the invagination of a proximal part of intestine into the adjacent distal part. Reported frequently in children, it forms a rare presentation in adults and can be difficult to diagnose preoperatively. Imaging modalities are increasingly being used for pre-operative diagnosis with almost all cases in adults being secondary to an intestinal lesion. Intra-operative management of such lesions in adults was mostly reported to be done by en-bloc resection without attempts at reduction, especially where a pre-operative diagnosis of a benign lesion was not in hand. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Ikram, S. Tani, G. Kaur, M. Hemadri Source Type: research
An exceptional case of simultaneous bilateral fractured neck of femurs in a patient with multiple sclerosis
This study reports an exceptional case of simultaneous bilateral fractured neck of femurs with minimal trauma in a patient with Multiple Sclerosis (MS). MS is a progressive inflammatory disorder that can lead to disability. The disease has a multi-factorial impact on bone health and a large effect on reduction of bone mineral density (BMD) at the hip. However, assessment and screening of bone health in multiple sclerosis is lacking consistency. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: T. Srirangarajan, S. Isopescu Source Type: research
Fishbone perforation of the ileum: Case report and literature review
A 70 year-old man presented with a 24 hour history of central abdominal pain. Initial investigations revealed normal inflammatory markers and plain films. Computed Tomography identified a linear hyper-density crossing the small bowel lumen into the mesentery, suspicious for fishbone. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: A. Khoury, G. Humm, A. Shaw, H. Lloyd Source Type: research
A case report of necrotising fasciitis complicating hand foot and mouth disease
This report explores the case of a previously well 1-year-old boy who presented to A&E with an acutely swollen right hand in the context of an atypical viral rash affecting the hands and face. He was admitted under plastic surgery and treated with IV antibiotics and fluid resuscitation for sepsis secondary to cellulitis. Following dermatological review of the rash, a clinical diagnosis of atypical HFMD was made. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: C. Smith Source Type: research
Primary neuroendocrine carcinoma of the ureter: A rare histology
We describe a case of primary neuroendocrine carcinoma of the ureter treated with nephroureterectomy. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: F. Motiwala, O. Karim, H. Motiwala Source Type: research
AAAcute cholangitis: A rare cause of extrinsic common bile duct compression
Extrinsic compression of the common bile duct is a commonly considered differential in cases of extrahepatic biliary dilatation. Commonly implicated pathologies include pancreatic masses, primary sclerosing cholangitis and cholangiocarcinoma. The resulting biliary stasis is susceptible to infection, causing acute cholangitis. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: B. Edgar Source Type: research
Nutcracker sydrome: A case report and review of management
We present a case with CT images of symptomatic left renal vein compression between the superior mesenteric artery and the aorta also known as ‘Nutcracker syndrome.’ (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: K. Kayani, R. Agarwal, N. Mughal, E. Atkins, F. Khan, A. Awopetu Source Type: research
Iatrogenic splenic injury following colonoscopy: Case example and review of current literature
We present a case of a patient with splenic rupture less than 24 hours post colonoscopy, who recovered following splenectomy, as well as literature review of similar cases. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: G. Hui Chin Lim, K. Eng, J. Hui Yee Lim, P. Hong Tan, S. Khan, B. Campbell Source Type: research
Case report: A traumatic superficial temporal artery pseudo-aneurysm- A rare complication following facial trauma
A 55-year-old male was referred to the maxillofacial department with a swelling on his right forehead and weakness of temporal branch of facial nerve. Seventeen days prior, he had an alcohol-induced mechanical fall whilst crossing a road and sustained a small laceration on his right lateral brow that was uneventfully sutured under local anaesthesia. There were no associated neurological signs. A week later, a golf-ball sized non-pulsatile fluctuant swelling had evolved on the right side of his forehead. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Khalil, S. Ananth Source Type: research
Giant atrial myxoma: First presentation of acute pulmonary oedema
Primary cardiac tumours are extremely rare, with atrial myxomas accounting for about 50% of cases. Clinically, presentations vary from asymptomatic incidental findings to acute life-threatening complications. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: D. Chevalier, I. Ahmed Source Type: research
A tail of two bezoars
A bezoar is an accumulation of indigestible material in the digestive tract, most commonly the stomach. A trichobezoar occurs from the ingestion of hair, is associated with trichotillomania and most commonly occurs in young females2. In Rapunzel Syndrome the trichobezoar extends past the stomach into the small intestine1. In this case report we present two similar presentations of Rapunzel Syndrome with different outcomes. Both cases were young females and presented with abdominal pain, nausea and vomiting. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Cassidy, C. Toale, F. Hand, J. Conneely Source Type: research
Small bowel obstruction caused by a remnant of the vas deferens – A first documented report
Introduction: Small bowl obstruction (SBO) is a common acute surgical presentation. It is often caused by post-operative adhesions which usually require adhesiolysis repair. Rare causes of SBO have previously been reported such as phytobezoars, dental impressions and cherry tomatoes. These obscure presentations provide a unique challenge for the surgeon. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: J. Davies, J. Parmar, I. Finlay Source Type: research
